# PARA & PALLI INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** los banos nursing & rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477615797
- **Authorized official:** MR. JOSPEH PALLIVATHUCAL (GENERAL MANAGER)
- **Authorized official phone:** (209) 826-0790

## Contact information

- **Practice address:** 931 IDAHO AVE, LOS BANOS, CA 93635-3405
- **Practice address phone:** (209) 826-0790
- **Practice address fax:** (209) 826-3154
- **Mailing address:** 931 IDAHO AVE, LOS BANOS, CA 93635-3405
- **Mailing address phone:** (209) 826-0790
- **Mailing address fax:** (209) 826-3154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WA2000X | Administrator Registered Nurse | NHA00006564 | CA | — |
| 314000000X | Skilled Nursing Facility | 040000202 | CA | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 07/23/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZR05028J | — | CA |