Organization
SAGAR INC.
Active
Other names
LA MARIPOSA
Organization subpart
No
Provider details
NPI number
Authorized official
PREMA THEKKEK (VICE PRESIDENT)
(707) 422-7750
Entity
Organization
Contact information
Practice address
1244 TRAVIS BLVD, FAIRFIELD, CA 94533-4802
(707) 422-7750
(707) 422-7452
Mailing address
1244 TRAVIS BLVD, FAIRFIELD, CA 94533-4802
(707) 422-7750
(707) 422-7452
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
23003882
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR06086G
—
CA
Enumeration date
07/26/2006
Last updated
03/20/2008
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