Organization
HACIENDA CARE CENTER, INC.
Active
Other names
Sierra Valley Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN BROWNE (ADMINISTRATOR)
(559) 784-7375
Entity
Organization
Contact information
Practice address
301 W PUTNAM AVE, PORTERVILLE, CA 93257-3429
(559) 784-7375
(559) 784-4636
Mailing address
301 W PUTNAM AVE, PORTERVILLE, CA 93257-3429
(559) 784-7375
(559) 784-4636
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
120000579
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05568H
—
CA
Enumeration date
11/10/2005
Last updated
12/14/2011
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