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Organization
LCS SANTA ROSA LLC
Active
Organization
LCS SANTA ROSA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL NELSON (MANAGER, PRESIDENT & CEO)
(515) 875-4500
Entity
Organization
Contact information
Practice address
300 FOUNTAINGROVE PKWY, SANTA ROSA, CA 95403-5720
(707) 566-8600
(844) 319-0816
Mailing address
400 LOCUST ST STE 820, DES MOINES, IA 50309-2334
(515) 875-4500
(844) 319-0816
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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