Organization
ENSIGN WILLITS LLC
Active
Other names
Northbrook Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
64 NORTHBROOK WAY, WILLITS, CA 95490-3019
(707) 459-5592
(707) 459-4727
Mailing address
64 NORTHBROOK WAY, WILLITS, CA 95490-3019
(707) 459-5592
(707) 459-4727
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
010000049
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR06215I
—
CA
Enumeration date
07/19/2005
Last updated
02/17/2021
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