Organization
VINDRA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL COLE (ADMINISTRATOR)
(707) 994-7738
Entity
Organization
Contact information
Practice address
3805 DEXTER LN, CLEARLAKE, CA 95422-8850
(707) 994-7738
(707) 994-7769
Mailing address
3805 DEXTER LN, CLEARLAKE, CA 95422-8850
(707) 994-7738
(707) 994-7769
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
110000510
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55490F
—
CA
Enumeration date
03/14/2006
Last updated
10/01/2024
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