# GERIATRIC HEALTHCARE INC

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

## Provider details

- **NPI number:** 1306835731
- **Authorized official:** MARK RICHARD GRUIDL FNP (PRESIDENT)
- **Authorized official phone:** (805) 748-8897

## Contact information

- **Practice address:** 278 HACIENDA DR, CAYUCOS, CA 93430-1550
- **Practice address phone:** (805) 748-8897
- **Practice address fax:** (805) 434-0308
- **Mailing address:** PO BOX 2677, ATASCADERO, CA 93423-2677
- **Mailing address phone:** (805) 748-8897
- **Mailing address fax:** (805) 434-0308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | W16850 | CA | Yes |

## Other

- **Enumeration date:** 10/18/2005
- **Last updated:** 09/14/2016