# HACIENDA CARE CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sierra Valley Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376524843
- **Authorized official:** STEPHEN BROWNE (ADMINISTRATOR)
- **Authorized official phone:** (559) 784-7375

## Contact information

- **Practice address:** 301 W PUTNAM AVE, PORTERVILLE, CA 93257-3429
- **Practice address phone:** (559) 784-7375
- **Practice address fax:** (559) 784-4636
- **Mailing address:** 301 W PUTNAM AVE, PORTERVILLE, CA 93257-3429
- **Mailing address phone:** (559) 784-7375
- **Mailing address fax:** (559) 784-4636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 120000579 | CA | Yes |

## Other

- **Enumeration date:** 11/10/2005
- **Last updated:** 12/14/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT05568H | — | CA |