Organization
VALLEY CAREIDENCE OPCO, LLC
Active
Other names
Gateway Post Acute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MITCHELL (SECRETARY)
(385) 988-3319
Entity
Organization
Contact information
Practice address
661 W POPLAR AVE, PORTERVILLE, CA 93257-5926
(559) 784-8371
(559) 784-0101
Mailing address
262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
120000567
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT18820G
—
CA
Enumeration date
07/21/2014
Last updated
08/20/2024
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