Organization
ST. LUKE HEALTHCARE AND REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORENA A SMITH LNHA (ADMINISTRATOR)
(707) 725-4467
Entity
Organization
Contact information
Practice address
2321 NEWBURG RD, FORTUNA, CA 95540-2815
(707) 725-4467
(707) 725-1848
Mailing address
2321 NEWBURG RD, FORTUNA, CA 95540-2815
(707) 725-4467
(707) 725-1848
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR06361G
—
CA
Enumeration date
09/29/2005
Last updated
07/17/2007
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