Organization
DOUGLAS FIR HOLDINGS, LLC
Active
Other names
Huntington Valley Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MITCHELL (SECRETARY)
(385) 988-3319
Entity
Organization
Contact information
Practice address
8382 NEWMAN AVE, HUNTINGTON BEACH, CA 92647-7038
(714) 842-5551
(714) 848-5359
Mailing address
262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060000206
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821027632
—
CA
05
—
LTC70171F
—
CA
05
—
ZZT05888H
—
CA
Enumeration date
07/02/2006
Last updated
08/19/2024
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