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Organization
NORTH BAY POST ACUTE, LLC
Active
Organization
NORTH BAY POST ACUTE, LLC
Active
Other names
North Bay Post Acute
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN TANNER (MANAGER)
(707) 763-6887
Entity
Organization
Contact information
Practice address
300 DOUGLAS ST, PETALUMA, CA 94952-2503
(707) 763-6887
Mailing address
5404 WHITSETT AVE STE 182, VALLEY VILLAGE, CA 91607-1615
(818) 960-0295
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/31/2020
Last updated
03/02/2021
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