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Organization
REDWOD SHORE EMPIRE, LLC
Active
Organization
REDWOD SHORE EMPIRE, LLC
Active
Other names
Redwood Empire Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THRESIAMMA J PALLIVATHUCAL RN (OWNER)
(209) 576-5725
Entity
Organization
Contact information
Practice address
131 WHITMORE LN, UKIAH, CA 95482-6931
(209) 576-5725
Mailing address
3141 ELYSE CT, MODESTO, CA 95355-8692
(209) 576-5725
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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