Organization
SHADOWBROOK HEALTHCARE, LLC
Active
Other names
Shadowbrook Post Acute
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MITCHELL (SECRETARY)
(385) 988-3319
Entity
Organization
Contact information
Practice address
5915 DEWEY DRIVE, FAIR OAKS, CA 95628
(916) 500-0760
Mailing address
262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
(801) 447-9829
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
05/09/2025
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