Organization
COMMUNITY CARE CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER BENNETT (PRESIDENT)
(626) 357-3207
Entity
Organization
Contact information
Practice address
2335 MOUNTAIN AVE, DUARTE, CA 91010-3559
(626) 357-3207
(626) 303-1116
Mailing address
2335 MOUNTAIN AVE, DUARTE, CA 91010-3559
(626) 357-3207
(626) 303-1116
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT18686H
—
CA
Enumeration date
01/29/2007
Last updated
08/22/2020
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