# DRAGONFRUIT HOLDINGS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Canyon Springs Post-Acute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639548308
- **Authorized official:** JOHN MITCHELL (SECRETARY)
- **Authorized official phone:** (385) 518-1814

## Contact information

- **Practice address:** 180 N JACKSON AVE, SAN JOSE, CA 95116-1907
- **Practice address phone:** (408) 259-8700
- **Mailing address:** 262 N UNIVERSITY AVE \# 200, FARMINGTON, UT 84025-2975

## Taxonomy

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

## Other

- **Enumeration date:** 09/23/2015
- **Last updated:** 08/19/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1639548308 | — | CA |