Organization
UNITED COM-SERVE
Active
Other names
THE FOUNTAINS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMMA NELSON (ADMINISTRATOR)
(530) 790-3002
Entity
Organization
Contact information
Practice address
1260 WILLIAMS WAY, YUBA CITY, CA 95991-2400
(530) 790-3000
(530) 751-4894
Mailing address
1260 WILLIAMS WAY, YUBA CITY, CA 95991-2400
(530) 790-3000
(530) 751-4894
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
230000176
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D08602586
MED PT B CIGNA DME
CA
05
—
LTC55430F
—
CA
Enumeration date
07/15/2005
Last updated
06/24/2013
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