# ENSIGN PLEASANTON LLC

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

## Provider details

- **NPI number:** 1649222506
- **Authorized official:** MS. SOON BURNAM (TREASURER)
- **Authorized official phone:** (949) 540-1249

## Contact information

- **Practice address:** 1349 S DORA ST, UKIAH, CA 95482-6512
- **Practice address phone:** (707) 462-8864
- **Practice address fax:** (707) 462-0718
- **Mailing address:** 1349 S DORA ST, UKIAH, CA 95482-6512
- **Mailing address phone:** (707) 462-8864
- **Mailing address fax:** (707) 462-0718

## Taxonomy

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

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 02/17/2021
