Organization
GREENFIELD COUNTRY CLUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENQ H CHEN (OWNER)
(310) 889-9929
Entity
Organization
Contact information
Practice address
369 E PINE ST, BISHOP, CA 93514-2849
(760) 873-3100
Mailing address
1937 PONTIUS AVE, LOS ANGELES, CA 90025-5611
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
CA
Other
Enumeration date
10/03/2005
Last updated
08/22/2020
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