# BAWITDABA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Greenhaven Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437852027
- **Authorized official:** DAN BUSHNELL (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (949) 508-8370

## Contact information

- **Practice address:** 455 FLORIN RD, SACRAMENTO, CA 95831-2024
- **Practice address phone:** (916) 393-2550
- **Mailing address:** 2266 LAVA RIDGE CT, ROSEVILLE, CA 95661-2856

## Taxonomy

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

## Other

- **Enumeration date:** 03/23/2023
- **Last updated:** 03/23/2023