Organization
ABCD ASSOCIATES
Active
Other names
DBA CASA COLOMA HEALTH CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE PORTELA (ADMINISTRATOR)
(916) 363-4843
Entity
Organization
Contact information
Practice address
10410 COLOMA RD, RANCHO CORDOVA, CA 95670-2108
(916) 363-4843
(916) 363-4316
Mailing address
10410 COLOMA RD, RANCHO CORDOVA, CA 95670-2108
(916) 363-4843
(916) 363-4316
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1000001
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR06495G
—
CA
Enumeration date
07/13/2005
Last updated
06/13/2008
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