# GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GRIDLEY HEALTHCARE & WELLNESS CENTRE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598089351
- **Authorized official:** MS. CHERYL PETTERSON (VICE PRESIDENT - CAMS)
- **Authorized official phone:** (310) 574-3733

## Contact information

- **Practice address:** 246 SPRUCE ST, GRIDLEY, CA 95948-2216
- **Practice address phone:** (530) 846-6266
- **Practice address fax:** (530) 846-0668
- **Mailing address:** 246 SPRUCE ST, GRIDLEY, CA 95948-2216
- **Mailing address phone:** (530) 846-6266
- **Mailing address fax:** (530) 846-0668

## Taxonomy

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

## Other

- **Enumeration date:** 03/23/2010
- **Last updated:** 03/23/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 555124 | MEDICARE | CA |