Organization
ATASCADERO CHRISTIAN HOME INC
Active
Other names
country care convalescent hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MOHR (EXECUTIVE DIRECTOR)
(805) 466-0281
Entity
Organization
Contact information
Practice address
8455 SANTA ROSA RD, ATASCADERO, CA 93422-4946
(805) 466-0281
(805) 466-9714
Mailing address
8455 SANTA ROSA RD, ATASCADERO, CA 93422-4946
(805) 466-0281
(805) 466-9714
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
050000028
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000028
FACILITY LICENSE NUMBER
CA
Enumeration date
06/08/2011
Last updated
06/08/2011
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