Organization
3067 ORANGE AVENUE LLC
Active
Other names
ANAHEIM CREST NURSING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE L BOYER (DIRECTOR OF PATIENT ACCOUNTING)
(818) 367-9546
Entity
Organization
Contact information
Practice address
3067 W ORANGE AVE, ANAHEIM, CA 92804-3156
(714) 827-2440
(714) 827-2043
Mailing address
3067 W ORANGE AVE, ANAHEIM, CA 92804-3156
(714) 827-2440
(714) 827-2043
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55445H
—
CA
Enumeration date
09/19/2005
Last updated
08/22/2020
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