Organization
PACIFIC COAST CARE CENTER, LLC
Active
Other names
Kindred Nursing and Transitional Care-Pacific Coast
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN A. WEAVER (ASSISTANT SECRETARY)
(502) 596-7563
Entity
Organization
Contact information
Practice address
720 E ROMIE LN, SALINAS, CA 93901-4208
(831) 424-8072
(831) 424-6329
Mailing address
680 S. 4TH STREET, LOUISVILLE, KY 40202-2407
(502) 596-7301
(502) 596-4134
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
070000130
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR55090H
—
CA
Enumeration date
07/21/2006
Last updated
09/28/2017
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