Organization
NORTH BAY POST ACUTE, LLC
Active
Other names
North Bay Post Acute
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN TANNER (MANAGER)
(707) 763-6887
Entity
Organization
Contact information
Practice address
300 DOUGLAS ST, PETALUMA, CA 94952-2503
(707) 763-6887
Mailing address
5404 WHITSETT AVE STE 182, VALLEY VILLAGE, CA 91607-1615
(818) 960-0295
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/31/2020
Last updated
03/02/2021
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