Organization
ASHLEY LTC INC
Active
Other names
santa rosa convalescent hospital
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK C BENSON JD (ADMINISTRATOR)
(707) 528-2100
Entity
Organization
Contact information
Practice address
446 ARROWOOD DR, SANTA ROSA, CA 95407-7503
(707) 528-2100
(707) 568-1209
Mailing address
446 ARROWOOD DR, SANTA ROSA, CA 95407-7503
(707) 528-2100
(707) 568-1209
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
01-0000064
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR06259H
—
CA
Enumeration date
09/29/2005
Last updated
12/26/2011
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