Organization
TRINITY OAKLAND, INC
Active
Other names
Country Oaks Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL KLEIS (PRESIDENT)
(425) 820-9750
Entity
Organization
Contact information
Practice address
215 W PEARL ST, POMONA, CA 91768-3114
(909) 622-1067
(909) 622-0412
Mailing address
215 W PEARL ST, POMONA, CA 91768-3114
(909) 622-1067
(909) 622-0412
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05247K
—
CA
Enumeration date
10/04/2006
Last updated
08/21/2007
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