# GOLDEN EMPIRE NURSING & REHAB CENTER LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Golden Empire Convalescent Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710089255
- **Authorized official:** VICKI YOUNG (ADMINISTRATOR)
- **Authorized official phone:** (530) 273-1316

## Contact information

- **Practice address:** 121 DORSEY DR, GRASS VALLEY, CA 95945-5201
- **Practice address phone:** (530) 273-1316
- **Practice address fax:** (530) 273-4809
- **Mailing address:** 121 DORSEY DR, GRASS VALLEY, CA 95945-5201
- **Mailing address phone:** (530) 273-1316
- **Mailing address fax:** (530) 273-4809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 230000135 | CA | Yes |

## Other

- **Enumeration date:** 09/04/2006
- **Last updated:** 12/22/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZR06391G | — | CA |