# YOSEMITE CONVALESCENT HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Colony Park Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033221999
- **Authorized official:** MR. ARDEN BENNETT (CEO)
- **Authorized official phone:** (559) 673-5149

## Contact information

- **Practice address:** 159 E ORANGEBURG AVE, MODESTO, CA 95350-5334
- **Practice address phone:** (209) 526-2811
- **Practice address fax:** (209) 526-6193
- **Mailing address:** 632 E YOSEMITE AVE, MADERA, CA 93638-3343
- **Mailing address phone:** (559) 673-5149
- **Mailing address fax:** (559) 673-7249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZR05849F | — | CA |