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COUNTRY HILLS HEALTH CARE INCORPORATED

Nursing Facility Supplies >> Durable Medical Equipment & Medical Supplies >> Suppliers

Registrant NPI Number: 1700973963

Organizational Registrant:
Organization Name:  COUNTRY HILLS HEALTH CARE INCORPORATED
Organization is not Subpart
Authorized Official:  CAROL J PATTEN  ACCOUNTS RECEIVABLE SUPERVISOR  619--44-18745

Location and contact information for practice:
1580 BROADWAY  EL CAJON, CA 92021-5124 US
Tel: 619-441-8745  Fax: 619-334-3248

Contact information for business:
1580 BROADWAY  EL CAJON, CA 92021-5124 US
Tel: 619-441-8745  Fax: 619-334-3248

Registration Information:
NPI: 1700973963
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N332BN1400XSuppliers
Durable Medical Equipment & Medical Supplies
Nursing Facility Supplies
CA
N332BP3500XSuppliers
Durable Medical Equipment & Medical Supplies
CA
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
CA08000361

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDICAL INTERNET USER IDCMCSUB0TCCA01
LTC55431GCA05




HEALTH CARE JOBS CA - Page 1



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