Organization
PLACERVILLE PINES CARE CENTER, INC.
Active
Parent organization
HORIZON WEST HEALTHCARE OF CALIFORNIA, INC.
Other names
Placerville Pines Convalescent Hospital, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
HORIZON WEST HEALTHCARE OF CALIFORNIA, INC.
Authorized official
LARRY E BEAR (CHIEF EXECUTIVE OFFICER)
(916) 624-6230
Entity
Organization
Contact information
Practice address
1040 MARSHALL WAY, PLACERVILLE, CA 95667-5706
(530) 622-3400
(530) 622-5230
Mailing address
4020 SIERRA COLLEGE BLVD, SUITE 190, ROCKLIN, CA 95677-3906
(916) 624-6230
(916) 624-6249
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030000073
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05497G
—
CA
Enumeration date
07/19/2005
Last updated
06/10/2008
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