Organization
CEDAR HOLDING, LLC
Active
Other names
Highland Palms Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MITCHELL (SECRETARY)
(385) 988-3319
Entity
Organization
Contact information
Practice address
7534 PALM AVE, HIGHLAND, CA 92346-3736
(909) 862-0611
(909) 425-9611
Mailing address
262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
240000148
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356370159
—
CA
05
—
ZZT056024J
—
CA
Enumeration date
07/02/2006
Last updated
08/19/2024
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