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Organization
DANVILLE LONG TERM CARE INC
Active
Organization
DANVILLE LONG TERM CARE INC
Active
Other names
DANVILLE REHABILITATION
Organization subpart
No
Provider details
NPI number
Authorized official
MARC JOHNSON (CFO)
(949) 373-8373
Entity
Organization
Contact information
Practice address
336 DIABLO RD, DANVILLE, CA 94526-3417
(925) 837-4566
Mailing address
25910 ACERO STE 350, MISSION VIEJO, CA 92691-7908
(949) 441-9258
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
140000095
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55376K
—
CA
Enumeration date
12/07/2005
Last updated
04/05/2024
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