# WHISPERING PINES INN LLC

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

## Provider details

- **NPI number:** 1811167372
- **Authorized official:** MR. CHARLES ARCHIBALD PARK CERTIFIED RCFE ADMIN (ADMINISTRATOR/OWNER)
- **Authorized official phone:** (831) 636-9620

## Contact information

- **Practice address:** 476 LOS VIBORAS RD, HOLLISTER, CA 95023-9465
- **Practice address phone:** (831) 636-9620
- **Practice address fax:** (831) 636-2903
- **Mailing address:** 476 LOS VIBORAS RD, HOLLISTER, CA 95023-9465
- **Mailing address phone:** (831) 636-9620
- **Mailing address fax:** (831) 636-2903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | 385H00000X | CA | Yes |

## Other

- **Enumeration date:** 03/11/2008
- **Last updated:** 03/13/2008