Organization
WINDSOR ELMHAVEN CARE CENTER, LLC
Active
Other names
Windsor Elmhaven Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASH CHAWLA (VP, FINANCE)
(310) 385-1090
Entity
Organization
Contact information
Practice address
6940 PACIFIC AVE, STOCKTON, CA 95207-2602
(209) 477-4817
(209) 477-0522
Mailing address
6940 PACIFIC AVE, STOCKTON, CA 95207-2602
(209) 477-4817
(209) 477-0522
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100000034
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05735I
—
CA
Enumeration date
01/29/2007
Last updated
04/04/2012
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