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Organization
SKY PARK HEALTH CARE INC.
Active
Organization
SKY PARK HEALTH CARE INC.
Active
Other names
Acacia Park Nursing & Rehab Cetner
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA J PALLIVATHUCAL RN (ADMINISTRATOR)
(209) 523-5667
Entity
Organization
Contact information
Practice address
1611 SCENIC DR, MODESTO, CA 95355-4907
(209) 523-5667
(209) 523-6529
Mailing address
1611 SCENIC DR, MODESTO, CA 95355-4907
(209) 523-5667
(209) 523-6529
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Enumeration date
12/13/2006
Last updated
07/21/2022
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