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Organization
CASA COLOMA HOLDINGS, LLC
Active
Organization
CASA COLOMA HOLDINGS, LLC
Active
Other names
Casa Coloma Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MARTIN (MANAGER)
(916) 363-4843
Entity
Organization
Contact information
Practice address
10410 COLOMA RD, RANCHO CORDOVA, CA 95670-2108
(916) 363-4843
Mailing address
4747 VIEWRIDGE AVE STE 105, SAN DIEGO, CA 92123-1688
(916) 363-4843
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
01/04/2023
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