# ASHLEY LTC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** santa rosa convalescent hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487641049
- **Authorized official:** FREDERICK C BENSON JD (ADMINISTRATOR)
- **Authorized official phone:** (707) 528-2100

## Contact information

- **Practice address:** 446 ARROWOOD DR, SANTA ROSA, CA 95407-7503
- **Practice address phone:** (707) 528-2100
- **Practice address fax:** (707) 568-1209
- **Mailing address:** 446 ARROWOOD DR, SANTA ROSA, CA 95407-7503
- **Mailing address phone:** (707) 528-2100
- **Mailing address fax:** (707) 568-1209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 01-0000064 | CA | Yes |

## Other

- **Enumeration date:** 09/29/2005
- **Last updated:** 12/26/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZR06259H | — | CA |