# PACIFIC CARE SALIDA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629724067
- **Authorized official:** GURMIT KAHLON (MEMBER)
- **Authorized official phone:** (209) 222-3727

## Contact information

- **Practice address:** 5404 KIERNAN AVE, SALIDA, CA 95368-9130
- **Practice address phone:** (646) 416-1430
- **Mailing address:** PO BOX 4730, MODESTO, CA 95352-4730

## Taxonomy

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

## Other

- **Enumeration date:** 02/24/2022
- **Last updated:** 02/21/2023