Organization
MOUNTAINS COMMINITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE GERTRUDE KELLY (PHYSICAL THERAPIST ASSISTANT)
(909) 336-3651
Entity
Organization
Contact information
Practice address
29101 HOSPITAL RD, SUITE 106, LAKE ARROWHEAD, CA 92352-0070
(909) 336-3651
Mailing address
PO BOX 70, LAKE ARROWHEAD, CA 92352-0070
(909) 336-3651
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
AT 3444
CA
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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