Organization
REDBROOK HEALTHCARE ASSOCIATES LLC
Active
Other names
Brookside Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
105 TERRACINA BLVD, REDLANDS, CA 92373-4845
(909) 793-2271
(909) 792-6477
Mailing address
105 TERRACINA BLVD, REDLANDS, CA 92373-4845
(909) 793-2271
(909) 792-6477
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
240000121
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT18028L
—
CA
Enumeration date
07/15/2005
Last updated
02/17/2021
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