Organization
TOWN AND COUNTRY MANOR CHRISTIAN & MISSIONARY ALLIANCE
Active
Other names
Town & Country
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT GOERZEN (CHIEF EXECUTIVE OFFICER)
(714) 547-7581
Entity
Organization
Contact information
Practice address
555 E MEMORY LANE, SANTA ANA, CA 92706-1705
(714) 547-7581
(714) 547-0435
Mailing address
555 E MEMORY LANE, SANTA ANA, CA 92706-1705
(714) 547-7581
(714) 547-0435
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
060000191
CA
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT 11308 F
—
CA
Enumeration date
10/17/2005
Last updated
11/14/2024
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