# GRANADA HEALTHCARE & REHABILITATION CENTER, LLC

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

## Provider details

- **NPI number:** 1306824248
- **Authorized official:** MS. DEVIN SHELBY (ADMINISTRATOR)
- **Authorized official phone:** (707) 443-1627

## Contact information

- **Practice address:** 2885 HARRIS ST, EUREKA, CA 95503-4808
- **Practice address phone:** (707) 443-1627
- **Mailing address:** 2885 HARRIS ST, EUREKA, CA 95503-4808
- **Mailing address phone:** (707) 443-1627

## Taxonomy

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

## Other

- **Enumeration date:** 12/30/2005
- **Last updated:** 03/31/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZR06300K | — | CA |