Healthcare Provider Details
I. General information
NPI: 1821765611
Provider Name (Legal Business Name): ARROWHEAD CLHF
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/27/2021
Last Update Date: 08/27/2021
Certification Date: 08/27/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
128 E G ST
COLTON CA
92324-2951
US
IV. Provider business mailing address
5059 STILLWATER WAY
RANCHO CUCAMONGA CA
91739-2628
US
V. Phone/Fax
- Phone: 818-433-1696
- Fax:
- Phone: 818-433-1696
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
ELEANOR
POSNER
Title or Position: DIRECTOR OF NURSING
Credential: RN
Phone: 818-433-1696