Organization
ATASCADERO CHRISTIAN HOME
Active
Other names
Country Care Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN BUSBY (CEO)
(805) 466-0281
Entity
Organization
Contact information
Practice address
14900 EL CAMINO REAL, ATASCADERO, CA 93422-6417
(805) 466-0282
(805) 438-4405
Mailing address
14900 EL CAMINO REAL, ATASCADERO, CA 93422-6417
(805) 466-0282
(805) 438-4405
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
050000028
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400590475
—
CA
Enumeration date
05/08/2006
Last updated
08/27/2013
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