# WINDSOR CARE CENTER OF PETALUMA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255622817
- **Authorized official:** MR. ASH CHAWLA (VICE PRESIDENT OF FINANCE)
- **Authorized official phone:** (310) 385-1078

## Contact information

- **Practice address:** 523 HAYES LN, PETALUMA, CA 94952-4011
- **Practice address phone:** (707) 763-2457
- **Practice address fax:** (707) 347-4705
- **Mailing address:** 9200 W SUNSET BLVD, SUITE 700, WEST HOLLYWOOD, CA 90069-3502
- **Mailing address phone:** (310) 385-1090
- **Mailing address fax:** (310) 595-3752

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 010000010 | CA | Yes |

## Other

- **Enumeration date:** 04/29/2011
- **Last updated:** 04/29/2011
