Organization
ABUNDANT CARE IV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY PRYKO LVN (ADMINISTRATOR)
(805) 845-1608
Entity
Organization
Contact information
Practice address
5421 BERKELEY RD, SANTA BARBARA, CA 93111-1613
(805) 845-1608
(805) 845-1609
Mailing address
5421 BERKELEY RD, SANTA BARBARA, CA 93111-1613
(805) 845-1608
(805) 845-1609
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
425801755
CA
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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