Organization
V S N F INC
Active
Other names
UNIVERSITY POST-ACUTE REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
MARC JOHNSON (CHIEF FINANCIAL OFFICER)
(949) 373-8373
Entity
Organization
Contact information
Practice address
2120 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(916) 452-6631
Mailing address
25910 ACERO STE 350, MISSION VIEJO, CA 92691-7908
(949) 441-9258
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100000110
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55265J
—
CA
Enumeration date
12/07/2005
Last updated
04/05/2024
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