Organization
GLOCKSTON LLC
Active
Other names
Auburn Ravine Terrace
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN BUSHNELL (DIRECTOR OF OPERATIONS)
(949) 508-8370
Entity
Organization
Contact information
Practice address
750 AUBURN RAVINE RD, AUBURN, CA 95603-3820
(530) 823-6131
Mailing address
2266 LAVA RIDGE CT, ROSEVILLE, CA 95661-2856
(949) 508-8370
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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