Organization
KIMBERLY CARE CENTER INC.
Active
Other names
Santa Maria Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER M MATJASICH (PRESIDENT)
(801) 466-0966
Entity
Organization
Contact information
Practice address
820 W COOK ST, SANTA MARIA, CA 93458-5414
(805) 925-8877
(805) 349-8371
Mailing address
3094 S STATE ST, SALT LAKE CITY, UT 84115-3834
(801) 466-0966
(801) 466-1955
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05563G
—
CA
Enumeration date
08/12/2005
Last updated
08/22/2020
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