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Organization
DYNASTY VALLEY, LLC
Active
Organization
DYNASTY VALLEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE TONS (CEO)
(310) 270-6469
Entity
Organization
Contact information
Practice address
121 DORSEY DR, GRASS VALLEY, CA 95945-5201
(530) 273-1316
Mailing address
4076 LARK ST, SAN DIEGO, CA 92103-1735
(310) 270-6469
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/23/2018
Last updated
08/25/2026
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