Organization
P.T.C.H., INC.
Active
Other names
PALM TERRACE CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MARC JOHNSON (CFO)
(949) 373-8373
Entity
Organization
Contact information
Practice address
11162 PALM TERRACE LN, RIVERSIDE, CA 92505-2338
(951) 687-7330
Mailing address
25910 ACERO STE 350, MISSION VIEJO, CA 92691-7908
(949) 441-9258
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
250000183
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC90057G
—
CA
Enumeration date
12/07/2005
Last updated
04/05/2024
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