Organization
GOLDEN EMPIRE NURSING & REHAB CENTER LP
Active
Other names
Golden Empire Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI YOUNG (ADMINISTRATOR)
(530) 273-1316
Entity
Organization
Contact information
Practice address
121 DORSEY DR, GRASS VALLEY, CA 95945-5201
(530) 273-1316
(530) 273-4809
Mailing address
121 DORSEY DR, GRASS VALLEY, CA 95945-5201
(530) 273-1316
(530) 273-4809
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
230000135
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR06391G
—
CA
Enumeration date
09/04/2006
Last updated
12/22/2016
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