Organization
LAKE OROVILLE COUNTRY RETIREMENT
Active
Organization
LAKE OROVILLE COUNTRY RETIREMENT
Active
Other names
Country Crest
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY EUGENE BRADLEY NHA (EXECUTIVE DIRECTOR)
(530) 533-7857
Entity
Organization
Contact information
Practice address
55 CONCORDIA LN, OROVILLE, CA 95966-6347
(530) 533-7857
(530) 533-7887
Mailing address
55 CONCORDIA LN, OROVILLE, CA 95966-6347
(530) 533-7857
(530) 533-7887
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
45001619
CA
314000000X
Skilled Nursing Facility
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55802F
—
CA
Enumeration date
11/17/2005
Last updated
09/11/2025
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