Organization
AG REDLANDS, LLC
Active
Other names
Highland Care Center of Redlands
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB WINTNER (MANAGER)
(323) 651-1808
Entity
Organization
Contact information
Practice address
700 EAST HIGHLAND AVENUE, REDLANDS, CA 92374
(909) 793-2678
(909) 307-9768
Mailing address
700 EAST HIGHLAND AVENUE, REDLANDS, CA 92374
(909) 793-2678
(310) 574-1322
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
240000114
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05650J
—
CA
Enumeration date
09/09/2005
Last updated
07/21/2014
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