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CONGREGATIONAL CHURCH RETIREMENT COMMUNITY

Skilled Nursing Facility

Auburn, California

Provider NPI: 1083619365

Organization Information:
Organization Name:  CONGREGATIONAL CHURCH RETIREMENT COMMUNITY


Practice Location:
750 AUBURN RAVINE RD  AUBURN, CA 95603 US
Tel: 530-823-6131  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
CA030000172

Other Provider Identifiers:

IssuerNumberStateType
LTC90009FCA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




SKILLED NURSING JOBS CA - Page 1