Organization
GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN WEISS (CEO)
(323) 634-1940
Entity
Organization
Contact information
Practice address
246 SPRUCE ST, GRIDLEY, CA 95948-2216
(530) 846-6266
(530) 846-0331
Mailing address
246 SPRUCE ST, GRIDLEY, CA 95948-2216
(530) 846-6266
(530) 846-0331
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
230000047
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR18521H
—
CA
Enumeration date
04/06/2010
Last updated
04/06/2010
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