Organization
CORONA CARE CONVALESCENT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RENATO HILARIO FERRER (PRESIDENT)
(626) 394-6403
Entity
Organization
Contact information
Practice address
1400 EAST CIRCLE CITY DRIVE, CORONA, CA 92879-1642
(951) 735-0252
(951) 735-0751
Mailing address
1400 EAST CIRCLE CITY DRIVE, CORONA, CA 92879-1642
(951) 735-0252
(951) 735-0751
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
250000133
CA
Other
Enumeration date
11/21/2007
Last updated
04/04/2014
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