Organization
SRM ALLIANCE HOSPITAL SERVICES
Active
Other names
Petaluma Valley Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHEL DANTE RICCIONI CPA (CHIEF FINANCIAL OFFICER)
(707) 525-5320
Entity
Organization
Contact information
Practice address
400 N MCDOWELL BLVD, PETALUMA, CA 94954-2339
(707) 778-2631
(707) 778-9117
Mailing address
1165 MONTGOMERY DR, SANTA ROSA, CA 95405-4801
(707) 525-5300
(707) 525-5392
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/30/2007
Last updated
08/22/2020
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