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Organization
HACIENDA CARE CENTER, INC.
Active
Organization
HACIENDA CARE CENTER, INC.
Active
Other names
Sierra Valley Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN BROWNE (ADMINISTRATOR)
(559) 784-7375
Entity
Organization
Contact information
Practice address
301 W PUTNAM AVE, PORTERVILLE, CA 93257-3429
(559) 784-7375
(559) 784-4636
Mailing address
301 W PUTNAM AVE, PORTERVILLE, CA 93257-3429
(559) 784-7375
(559) 784-4636
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
120000579
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05568H
—
CA
Enumeration date
11/10/2005
Last updated
12/14/2011
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