Organization
SANDHYA INC.
Active
Other names
FIRCREST CONVALESCENT HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
PREMA THEKKEK (VICE PRESIDENT)
(707) 823-7444
Entity
Organization
Contact information
Practice address
7025 CORLINE CT, SEBASTOPOL, CA 95472-4520
(707) 823-7444
(707) 823-1309
Mailing address
7025 CORLINE CT, SEBASTOPOL, CA 95472-4520
(707) 823-7444
(707) 823-1309
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
47370820
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05476H
—
CA
Enumeration date
07/26/2006
Last updated
03/20/2008
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