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Organization

CHANCELLOR HEALTH CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARSHA GORMLEY R.N. (ADMINISTRATOR)
(909) 606-2553
Entity
Organization

Contact information

Practice address
6500 BUTTERFIELD RANCH RD, CHINO HILLS, CA 91709-6379
(909) 606-2553
(909) 606-2744
Mailing address
6500 BUTTERFIELD RANCH RD, CHINO HILLS, CA 91709-6379
(909) 606-2553
(909) 606-2744

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
366406351
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4725861
STATE TAX ID
CA
Enumeration date
12/24/2009
Last updated
12/24/2009
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