Organization
AUREUS ACQUISITION I, LLC
Active
Other names
BRIGHTON GARDEN OF SAN DIMAS
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M SPANN (EXECUTIVE DIRECTOR)
(909) 394-0304
Entity
Organization
Contact information
Practice address
1740 S SAN DIMAS AVE, SAN DIMAS, CA 91773-5108
(909) 394-0304
(909) 394-0903
Mailing address
790 WESTPARK DR., T-900, ATT: MEDICARE BILLING, M. GARCIA, MCLEAN, VA 22102
(703) 854-0823
(703) 854-0164
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
197803192
CA
Other
Enumeration date
05/23/2006
Last updated
06/18/2008
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