Organization
DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA
Active
Other names
Veterans Home of California - Redding
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY BOUSEMAN (ADMINISTRATOR)
(530) 224-3300
Entity
Organization
Contact information
Practice address
3400 KNIGHTON RD, REDDING, CA 96002-9498
(530) 224-3429
(530) 222-7599
Mailing address
PO BOX 942895, SACRAMENTO, CA 94295-0001
(916) 657-9349
(916) 653-1795
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
455002486
CA
314000000X
Skilled Nursing Facility
Primary
550002715
CA
Other
Enumeration date
04/17/2014
Last updated
07/11/2016
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