# ADVENTIST HEALTH MENDOCINO COAST

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710932157
- **Authorized official:** JUNICE WILSON (DIRECTOR)
- **Authorized official phone:** (707) 961-4651

## Contact information

- **Practice address:** 700 RIVER DR, FORT BRAGG, CA 95437-5403
- **Practice address phone:** (707) 961-4651
- **Mailing address:** PO BOX 841941, LOS ANGELES, CA 90084-1941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 010000146 | CA | Yes |

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 09/18/2025