# KIMBERLY CARE CENTER INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Santa Maria Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881696474
- **Authorized official:** MR. WALTER M MATJASICH (PRESIDENT)
- **Authorized official phone:** (801) 466-0966

## Contact information

- **Practice address:** 820 W COOK ST, SANTA MARIA, CA 93458-5414
- **Practice address phone:** (805) 925-8877
- **Practice address fax:** (805) 349-8371
- **Mailing address:** 3094 S STATE ST, SALT LAKE CITY, UT 84115-3834
- **Mailing address phone:** (801) 466-0966
- **Mailing address fax:** (801) 466-1955

## Taxonomy

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

## Other

- **Enumeration date:** 08/12/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT05563G | — | CA |