Organization
COBBLE STONE RESIDENTIAL HOME CARE LLC.
Active
Other names
Cobble Stone Residential Home Care LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE T. C LARK ADMINISTRATOR (ADMINISTRATOR)
(661) 397-0885
Entity
Organization
Contact information
Practice address
9320 COBBLE MOUNTAIN RD, BAKERSFIELD, CA 93313-5373
(661) 397-0885
(661) 855-4409
Mailing address
9320 COBBLE MOUNTAIN RD, BAKERSFIELD, CA 93313-5373
(661) 397-0885
(661) 855-4409
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548826860
—
CA
Enumeration date
09/11/2020
Last updated
09/11/2020
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