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Organization

GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC

Active
Other names
GRIDLEY HEALTHCARE & WELLNESS CENTRE
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CHERYL PETTERSON (VICE PRESIDENT - CAMS)
(310) 574-3733
Entity
Organization

Contact information

Practice address
246 SPRUCE ST, GRIDLEY, CA 95948-2216
(530) 846-6266
(530) 846-0668
Mailing address
246 SPRUCE ST, GRIDLEY, CA 95948-2216
(530) 846-6266
(530) 846-0668

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
555124
MEDICARE
CA
Enumeration date
03/23/2010
Last updated
03/23/2010
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