Organization
SPRUCE HOLDINGS, LLC
Active
Other names
Visalia Post Acute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MITCHELL (SECRETARY)
(385) 988-3319
Entity
Organization
Contact information
Practice address
1925 E HOUSTON AVE, VISALIA, CA 93292-2345
(559) 732-1020
(559) 732-6937
Mailing address
262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225270341
—
CA
Enumeration date
04/03/2009
Last updated
08/20/2024
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