Organization
PALM DRIVE NURSING & REHAB CENTER
Active
Parent organization
PALM DRIVE HEALTH CARE DISTRICT
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALM DRIVE HEALTH CARE DISTRICT
Authorized official
MRS. LORI AUSTIN (COO)
(707) 829-4300
Entity
Organization
Contact information
Practice address
477 PETALUMA AVE, SEBASTOPOL, CA 95472-4206
(707) 823-8511
(707) 829-4136
Mailing address
501 PETALUMA AVE, SEBASTOPOL, CA 95472-4215
(707) 823-8511
(707) 829-4136
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05520K
—
CA
Enumeration date
12/07/2007
Last updated
03/11/2008
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