Organization
CHINO AVENUE CONGREGATE HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN MARTINSON (EXECUTIVE ASSISTANT)
(714) 747-6546
Entity
Organization
Contact information
Practice address
3408 CHINO AVE, CHINO, CA 91710-4714
(909) 270-3293
(909) 635-6476
Mailing address
PO BOX 62, BREA, CA 92822-0062
(714) 747-6546
(909) 635-6476
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/15/2016
Last updated
10/21/2016
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