Organization
NORTHERN CALIFORNIA ADAPTIVE LIVING CENTER, INC.
Active
Other names
Redwood Valley Facility
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN C KOLAR (EXECUTIVE DIRECTOR)
(530) 894-2726
Entity
Organization
Contact information
Practice address
7501 UVA DR, REDWOOD VALLEY, CA 95470-6213
(707) 485-5168
(707) 485-1137
Mailing address
3028 ESPLANADE, SUITE H, CHICO, CA 95973-4924
(530) 894-2726
(530) 894-2798
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LTC60198I
MEDI-CAL
CA
Enumeration date
05/11/2007
Last updated
08/22/2020
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