Organization
EASTERN PLUMAS HEALTH CARE DISTRICT
Active
Other names
EASTERN PLUMAS HEALTH CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JERILEE NELSON CPA (CFO)
(530) 832-6578
Entity
Organization
Contact information
Practice address
500 1ST AVE, PORTOLA, CA 96122-9406
(530) 832-6500
(530) 832-1105
Mailing address
500 1ST AVE, PORTOLA, CA 96122-9406
(530) 832-6500
(530) 832-1105
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
230000014
CA
314000000X
Skilled Nursing Facility
Primary
555433
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050566
BC
—
05
—
LTC55433F
—
CA
Enumeration date
06/27/2005
Last updated
11/19/2013
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