Organization
FERNWOOD CARE FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO GONZALES CRUZ (LICENSEE)
(707) 321-3711
Entity
Organization
Contact information
Practice address
116 FERNWOOD CT, SANTA ROSA, CA 95401-6070
(707) 321-3711
Mailing address
116 FERNWOOD CT, SANTA ROSA, CA 95401-6070
(707) 321-3711
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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