Organization
BRASWELL MEDICAL CONSULTANTS INC.
Active
Other names
Sky Harbor Care Center, LP
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HAROLD BRASWELL NHA (PRESIDENT)
(909) 795-3821
Entity
Organization
Contact information
Practice address
57333 JOSHUA LANE, YUCCA VALLEY, CA 92284
(760) 365-4870
(760) 369-1407
Mailing address
57333 JOSHUA LANE, YUCCA VALLEY, CA 92284-4247
(760) 365-4870
(760) 369-1407
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
240000320
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55773F
—
CA
Enumeration date
02/01/2006
Last updated
01/09/2020
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