Organization
PARA & PALLI INC.
Active
Other names
los banos nursing & rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSPEH PALLIVATHUCAL (GENERAL MANAGER)
(209) 826-0790
Entity
Organization
Contact information
Practice address
931 IDAHO AVE, LOS BANOS, CA 93635-3405
(209) 826-0790
(209) 826-3154
Mailing address
931 IDAHO AVE, LOS BANOS, CA 93635-3405
(209) 826-0790
(209) 826-3154
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
NHA00006564
CA
314000000X
Skilled Nursing Facility
Primary
040000202
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05028J
—
CA
Enumeration date
12/14/2006
Last updated
07/23/2015
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