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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