# KAWEAH MANOR, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kaweah Manor Convalescent Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871674358
- **Authorized official:** JAMES HIGBEE (CFO)
- **Authorized official phone:** (559) 688-0288

## Contact information

- **Practice address:** 3710 W TULARE AVE, VISALIA, CA 93277-1732
- **Practice address phone:** (559) 732-2244
- **Mailing address:** 3710 W TULARE AVE, VISALIA, CA 93277-1732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 120000588 | CA | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 01/31/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT05916J | — | CA |