# WINDSOR SKYLINE CARE CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Windsor Skyline Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689710048
- **Authorized official:** MR. LAWRENCE FIEGEN (CHEIF OPERATING OFFICER)
- **Authorized official phone:** (310) 385-1090

## Contact information

- **Practice address:** 348 IRIS DR, SALINAS, CA 93906-3514
- **Practice address phone:** (831) 499-5496
- **Practice address fax:** (831) 757-5049
- **Mailing address:** 348 IRIS DR, SALINAS, CA 93906-3514
- **Mailing address phone:** (831) 499-5496
- **Mailing address fax:** (831) 757-5049

## Taxonomy

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

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZR05871J | — | CA |