Organization
KF ONTARIO HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS EASTON (OWNER)
(702) 308-7191
Entity
Organization
Contact information
Practice address
1661 S EUCLID AVE, ONTARIO, CA 91762-5826
(909) 984-6713
Mailing address
1661 S EUCLID AVE, ONTARIO, CA 91762-5826
(909) 984-6713
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780900068
—
CA
Enumeration date
04/12/2010
Last updated
07/28/2011
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