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Organization

GERI-CARE V, LLC

Active
Other names
Wellsprings Post Acute Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARIA DONNA B SANTOS NHA (ADMINISTRATOR)
(661) 948-7501
Entity
Organization

Contact information

Practice address
44445 15TH ST W, LANCASTER, CA 93534-2801
(661) 948-7501
(661) 949-5498
Mailing address
44445 15TH ST W, LANCASTER, CA 93534-2801
(661) 948-7501
(661) 949-5498

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
920000003
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZT06039
CA
Enumeration date
11/09/2005
Last updated
07/02/2015
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