Organization
PETALUMA HEALTHCARE & WELLNESS CENTRE, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHLOMO RECHNITZ (MANAGING MEMBER)
(323) 634-1940
Entity
Organization
Contact information
Practice address
523 HAYES LN, PETALUMA, CA 94952-4011
(707) 763-2457
(707) 763-4860
Mailing address
5900 WILSHIRE BLVD, SUITE 1600, LOS ANGELES, CA 90036-5013
(323) 330-6500
(866) 603-3566
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC5570F
—
CA
Enumeration date
07/31/2014
Last updated
07/31/2014
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