Organization · Type 2 NPI

Broadwater Bella Vista Care Center, LLC

Skilled Nursing Facility · Ontario, CA

NPI number 1679616528 Active

Practice location

933 E Deodar St
Ontario, CA 91764-1309

Fax (909) 985-1414

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	240000113 (CA)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1679616528

Broadwater Bella Vista Care Center, LLC's National Provider Identifier is 1679616528, issued on Feb 14, 2007. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Ontario, CA. The record was last updated on Jun 9, 2008.