Organization
HACIENDA POST ACUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA F STOTTS (VICE PRESIDENT)
(714) 778-0221
Entity
Organization
Contact information
Practice address
361 E GRANGEVILLE BLVD, HANFORD, CA 93230-3054
(559) 582-9221
(559) 582-8955
Mailing address
1440 S STATE COLLEGE BLVD, SUITE 2A, ANAHEIM, CA 92806-5724
(714) 778-0221
(714) 778-0574
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
040000101
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC05410F
—
CA
Enumeration date
07/19/2005
Last updated
09/05/2019
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