# NORTH BAY POST ACUTE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Bay Post Acute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104413517
- **Authorized official:** BRYAN TANNER (MANAGER)
- **Authorized official phone:** (707) 763-6887

## Contact information

- **Practice address:** 300 DOUGLAS ST, PETALUMA, CA 94952-2503
- **Practice address phone:** (707) 763-6887
- **Mailing address:** 5404 WHITSETT AVE STE 182, VALLEY VILLAGE, CA 91607-1615
- **Mailing address phone:** (818) 960-0295

## Taxonomy

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

## Other

- **Enumeration date:** 12/31/2020
- **Last updated:** 03/02/2021