Organization
WINDSOR COUNTRY DRIVE CARE CENTER, LLC
Active
Other names
Windsor Country Drive Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE FIEGEN (CHIEF OPERATING OFFICER)
(310) 385-1090
Entity
Organization
Contact information
Practice address
2500 COUNTRY DR, FREMONT, CA 94536-5356
(510) 792-4242
(510) 797-2074
Mailing address
2500 COUNTRY DR, FREMONT, CA 94536-5356
(510) 792-4242
(510) 797-2074
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05885I
—
CA
Enumeration date
01/29/2007
Last updated
08/22/2020
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