Organization
ARROWHEAD HOME CONVALESCENT HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON POPOVICH (ADMINISTRATOR)
(909) 886-4731
Entity
Organization
Contact information
Practice address
4343 N SIERRA WAY, SAN BERNARDINO, CA 92407-3822
(909) 887-4731
(909) 886-8399
Mailing address
4343 N SIERRA WAY, SAN BERNARDINO, CA 92407-3822
(909) 887-4731
(909) 886-8399
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT11304G
—
CA
Enumeration date
10/07/2005
Last updated
08/22/2020
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