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Organization
YOSEMITE CONVALESCENT HOSPITAL, INC.
Active
Organization
YOSEMITE CONVALESCENT HOSPITAL, INC.
Active
Other names
Colony Park Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARDEN BENNETT (CEO)
(559) 673-5149
Entity
Organization
Contact information
Practice address
159 E ORANGEBURG AVE, MODESTO, CA 95350-5334
(209) 526-2811
(209) 526-6193
Mailing address
632 E YOSEMITE AVE, MADERA, CA 93638-3343
(559) 673-5149
(559) 673-7249
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05849F
—
CA
Enumeration date
08/31/2006
Last updated
08/22/2020
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