Organization
MORAGAIDENCE OPCO, LLC
Active
Other names
Moraga Post Acute
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MITCHELL (SECRETARY)
(385) 988-3319
Entity
Organization
Contact information
Practice address
348 RHEEM BLVD, MORAGA, CA 94556-1516
(925) 376-5995
Mailing address
262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/06/2016
Last updated
08/20/2024
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