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KNOLLS CONVALESCENT HOSPITAL INC

Assisted Living Facility

Victorville, California

Provider NPI: 1821095647

Organization Information:
Organization Name:  KNOLLS CONVALESCENT HOSPITAL INC


Practice Location:
14973 HESPERIA RD  VICTORVILLE, CA 92395 US
Tel: 760-245-6477  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310400000XNursing & Custodial Care Facilities
Assisted Living Facility
CA

Other Provider Identifiers:

IssuerNumberStateType
ZZT05076FCA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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