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Organization

POMONA VALLEY REHABILITATION CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CRYSTAL SOLORZANO (MANAGING MEMBER)
(626) 658-7344
Entity
Organization

Contact information

Practice address
250 W ARTESIA ST, POMONA, CA 91768-1807
(909) 623-7100
(909) 620-7787
Mailing address
250 W ARTESIA ST, POMONA, CA 91768-1807
(909) 623-7100
(909) 620-7787

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
950000023
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
LTC70080G
CA
05
ZZT06431K
CA
Enumeration date
04/07/2017
Last updated
04/07/2017
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