Organization
CAL-COAST HEALTHCARE, INC.
Active
Other names
Hillside Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARDEN BENNETT (CEO)
(559) 673-5149
Entity
Organization
Contact information
Practice address
81 PROFESSIONAL CENTER PKWY, SAN RAFAEL, CA 94903-2702
(415) 479-5149
(415) 491-0512
Mailing address
632 E YOSEMITE AVE, MADERA, CA 93638-3343
(559) 673-5149
(559) 673-7249
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05333I
—
CA
Enumeration date
08/31/2006
Last updated
08/22/2020
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