Organization
PETALUMA SKILLED NURSING & WELLNESS CENTRE, LLC
Active
Other names
Country Villa Petaluma Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN E. REISSMAN (CEO)
(310) 574-3733
Entity
Organization
Contact information
Practice address
523 HAYES LN, PETALUMA, CA 94952-4011
(707) 763-2457
(707) 765-2176
Mailing address
5120 W GOLDLEAF CIR, SUITE 400, LOS ANGELES, CA 90056-1292
(310) 574-3733
(310) 574-1322
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55703F
—
CA
Enumeration date
10/15/2007
Last updated
10/15/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us