Organization
YOSEMITE CONVALESCENT HOSPITAL, INC.
Active
Other names
Colony Park Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARDEN BENNETT (CEO)
(559) 673-5149
Entity
Organization
Contact information
Practice address
159 E ORANGEBURG AVE, MODESTO, CA 95350-5334
(209) 526-2811
(209) 526-6193
Mailing address
632 E YOSEMITE AVE, MADERA, CA 93638-3343
(559) 673-5149
(559) 673-7249
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05849F
—
CA
Enumeration date
08/31/2006
Last updated
08/22/2020
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