Organization
CENTRAL COAST SKILLED CARE, INC
Active
Other names
Lompoc Skilled & Rehab. Center
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD WOODALL (PRESIDENT/CEO)
(209) 533-3333
Entity
Organization
Contact information
Practice address
1428 W NORTH AVE, LOMPOC, CA 93436-3961
(805) 735-4010
(805) 736-4296
Mailing address
133 OLD WARDS FERRY RD, SUITE G, SONORA, CA 95370-7822
(209) 533-3333
(209) 533-3160
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05A420
—
CA
Enumeration date
10/28/2005
Last updated
08/22/2020
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