Organization
GOLDEN OAK HOLDINGS, LLC
Active
Other names
Vasona Creek Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MITCHELL (SECRETARY)
(385) 988-3319
Entity
Organization
Contact information
Practice address
16412 LOS GATOS BLVD, LOS GATOS, CA 95032-5525
(408) 356-2191
(408) 356-9432
Mailing address
262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
070000153
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285670851
—
CA
05
—
ZZR05798J
—
CA
Enumeration date
06/21/2006
Last updated
08/20/2024
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