# DYNASTY VALLEY, LLC

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

## Provider details

- **NPI number:** 1427539998
- **Authorized official:** NICHOLE TONS (CEO)
- **Authorized official phone:** (310) 270-6469

## Contact information

- **Practice address:** 121 DORSEY DR, GRASS VALLEY, CA 95945-5201
- **Practice address phone:** (530) 273-1316
- **Mailing address:** 4076 LARK ST, SAN DIEGO, CA 92103-1735
- **Mailing address phone:** (310) 270-6469

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282E00000X | Long Term Care Hospital | — | — | Yes |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/23/2018
- **Last updated:** 08/25/2026