Organization
LONE TREE CONVALESCENT HOSPITAL, INC.
Active
Other names
Lone Tree Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLENE SUNGA (ADMINISTRATOR)
(925) 383-4810
Entity
Organization
Contact information
Practice address
4001 LONE TREE WAY, ANTIOCH, CA 94509-6232
(925) 754-0470
(925) 754-9142
Mailing address
4001 LONE TREE WAY, ANTIOCH, CA 94509-6232
(925) 754-0470
(925) 754-9142
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
140000199
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR06021H
—
CA
Enumeration date
11/30/2006
Last updated
11/01/2016
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