Organization
BRASWELLS COLONIAL CARE OF REDLANDS
Active
Other names
Braswell's Colonial Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES H. BRASWELL (PRESIDENT)
(909) 795-3821
Entity
Organization
Contact information
Practice address
1618 LAUREL AVE, REDLANDS, CA 92373-4838
(909) 792-6050
(909) 798-8341
Mailing address
1618 LAUREL AVE, REDLANDS, CA 92373-4838
(909) 792-6050
(909) 798-8341
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
240000307
CA
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55350F
—
CA
Enumeration date
09/30/2005
Last updated
02/28/2014
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