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Organization
GOLDEN OAK HOLDINGS, LLC
Active
Organization
GOLDEN OAK HOLDINGS, LLC
Active
Other names
Vasona Creek Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MITCHELL (SECRETARY)
(385) 988-3319
Entity
Organization
Contact information
Practice address
16412 LOS GATOS BLVD, LOS GATOS, CA 95032-5525
(408) 356-2191
(408) 356-9432
Mailing address
262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
070000153
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285670851
—
CA
05
—
ZZR05798J
—
CA
Enumeration date
06/21/2006
Last updated
08/20/2024
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