# UNITED COM-SERVE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** THE FOUNTAINS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477552164
- **Authorized official:** MRS. EMMA NELSON (ADMINISTRATOR)
- **Authorized official phone:** (530) 790-3002

## Contact information

- **Practice address:** 1260 WILLIAMS WAY, YUBA CITY, CA 95991-2400
- **Practice address phone:** (530) 790-3000
- **Practice address fax:** (530) 751-4894
- **Mailing address:** 1260 WILLIAMS WAY, YUBA CITY, CA 95991-2400
- **Mailing address phone:** (530) 790-3000
- **Mailing address fax:** (530) 751-4894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 230000176 | CA | Yes |

## Other

- **Enumeration date:** 07/15/2005
- **Last updated:** 06/24/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | D08602586 | MED PT B CIGNA DME | CA |
| 05 | — | LTC55430F | — | CA |