# WINDSOR REDDING CARE CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Windsor Redding Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487790937
- **Authorized official:** MR. LAWRENCE FIEGEN (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (310) 385-1090

## Contact information

- **Practice address:** 2490 COURT ST, REDDING, CA 96001-2540
- **Practice address phone:** (530) 246-0600
- **Practice address fax:** (530) 246-0558
- **Mailing address:** 2490 COURT ST, REDDING, CA 96001-2540
- **Mailing address phone:** (530) 246-0600
- **Mailing address fax:** (530) 246-0558

## Taxonomy

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

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZR06258H | — | CA |
