Anaheim Terrace Care Center, LLC
Skilled Nursing Facility in Anaheim, CA. Organization (NPI-2).
NPI number1790768083
StatusActive
Last updated in NPPESFeb 24, 2016
Details
- NPI
- 1790768083
- Entity type
- Organization (NPI-2)
- Legal business name
- Anaheim Terrace Care Center, LLC
- Organization subpart
- Yes
- Enumeration date
- Nov 21, 2005
- Last updated
- Feb 24, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 080000647 | CA | Yes |
Other names
- Anaheim Terrace Care Center (Doing Business As)
Practice location
141 S. Knott Ave.Anaheim, CA 92804-1406
Phone 714-821-7310
Mailing address
141 S. Knott Ave.Anaheim, CA 92804-1406
Phone 714-821-7310
Authorized official
Michael T. Berg
Assistant Secretary
5054684752
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