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Organization
BLUFF ENTERPRISES CORP
Active
Organization
BLUFF ENTERPRISES CORP
Active
Other names
Folsom Care Center, Folsom Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN WADE CALLAWAY (ADMINISTRATOR)
(916) 985-3641
Entity
Organization
Contact information
Practice address
510 MILL ST, FOLSOM, CA 95630-2607
(916) 985-3641
(916) 985-7231
Mailing address
510 MILL ST, FOLSOM, CA 95630-2607
(916) 985-3641
(916) 985-7231
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030000040
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05173F
—
CA
Enumeration date
07/07/2006
Last updated
11/05/2024
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