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LAKE OROVILLE COUNTRY RETIREMENT

Assisted Living Facility

Oroville, California

Provider NPI: 1417939125

Organization Information:
Organization Name:  LAKE OROVILLE COUNTRY RETIREMENT


Practice Location:
55 CONCORDIA LN  OROVILLE, CA 95966 US
Tel: 530-533-7857  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X310400000XNursing & Custodial Care Facilities
Assisted Living Facility
CA45001619
X314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
CA

Other Provider Identifiers:

IssuerNumberStateType
LTC55802FCA05
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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