Organization
CHANCELLOR HEALTH CARE OF CALIFORNIA IV, INC.
Active
Parent organization
CHANCELLOR HEALTH CARE, INC.
Other names
The Woodlands Assisted Living
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHANCELLOR HEALTH CARE, INC.
Authorized official
CLUNEY STAGG (CHIEF FINANCIAL OFFICER)
(707) 687-1919
Entity
Organization
Contact information
Practice address
1320 WINDLASS DR, BALTIMORE, MD 21220-4100
(410) 918-2139
(410) 687-9909
Mailing address
115 JOHNSON ST, WINDSOR, CA 95492-7435
(707) 687-1919
(707) 687-1912
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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