Organization
CRSCA HC, LLC
Active
Other names
CREEKSIDE POST ACUTE
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN ROBERT POWELL NHA (OWNER/PRESIDENT)
(949) 981-8915
Entity
Organization
Contact information
Practice address
35253 AVENUE H, YUCAIPA, CA 92399-5415
(909) 795-2476
(909) 457-6579
Mailing address
3281 E GUASTI RD STE 700, ONTARIO, CA 91761-7643
(949) 981-8915
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
06/21/2021
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