Organization
BRETHREN HILLCREST HOMES
Active
Other names
Woods Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES E. CABLE (PRESIDENT AND C.E.O.)
(909) 593-4917
Entity
Organization
Contact information
Practice address
2600 A ST, LA VERNE, CA 91750-4303
(909) 392-4367
(909) 392-4112
Mailing address
2705 MOUNTAIN VIEW DR, LA VERNE, CA 91750-4357
(909) 392-4917
(909) 392-4112
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT06083F
—
CA
Enumeration date
09/26/2005
Last updated
08/22/2020
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