Organization
NADHAN INC.
Active
Other names
CREEKSIDE REHABILITATION AND BEHAVIORAL HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
PREMA THEKKEK (VICE PRESIDENT)
(707) 544-7750
Entity
Organization
Contact information
Practice address
850 SONOMA AVE, SANTA ROSA, CA 95404-4715
(707) 544-7750
(707) 578-2140
Mailing address
850 SONOMA AVE, SANTA ROSA, CA 95404-4715
(707) 544-7750
(707) 578-2140
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
47038260
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR06090J
—
CA
Enumeration date
07/28/2006
Last updated
01/12/2015
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