# KAWEAH DELTA HEALTH CARE DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KAWEAH DELTA HEALTH CARE DISTRICT
- **Other names:** Kaweah Health Skilled Nursing Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093776338
- **Legal business name:** KAWEAH DELTA HEALTH CARE DISTRICT
- **Authorized official:** MALINDA TUPPER (SRVP/CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (559) 624-2739

## Contact information

- **Practice address:** 1633 S COURT ST, VISALIA, CA 93277-4945
- **Practice address phone:** (559) 624-2000
- **Practice address fax:** (559) 713-2356
- **Mailing address:** 400 W MINERAL KING AVE, VISALIA, CA 93291-6237
- **Mailing address phone:** (559) 624-2739
- **Mailing address fax:** (559) 713-2239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 120000580 | CA | Yes |

## Other

- **Enumeration date:** 03/28/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC90063F | — | CA |