Organization
WINDSOR CARE CENTER OF GRIDLEY, LLC
Active
Other names
Sierra Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE FEIGEN (MANAGING MEMBER)
(310) 385-1090
Entity
Organization
Contact information
Practice address
246 SPRUCE ST, GRIDLEY, CA 95948-2216
(530) 846-6266
Mailing address
246 SPRUCE ST, GRIDLEY, CA 95948-2216
(530) 846-6266
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
555124
MEDICARE PROVIDER #
CA
Enumeration date
08/28/2015
Last updated
09/11/2015
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