# CASA COLOMA HOLDINGS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Casa Coloma Health Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891310520
- **Authorized official:** RICHARD MARTIN (MANAGER)
- **Authorized official phone:** (916) 363-4843

## Contact information

- **Practice address:** 10410 COLOMA RD, RANCHO CORDOVA, CA 95670-2108
- **Practice address phone:** (916) 363-4843
- **Mailing address:** 4747 VIEWRIDGE AVE STE 105, SAN DIEGO, CA 92123-1688
- **Mailing address phone:** (916) 363-4843

## Taxonomy

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

## Other

- **Enumeration date:** 06/09/2020
- **Last updated:** 01/04/2023