Organization
MARINOAK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PREMA PHILIP THEKKEK RN,NHA (SECRETARY/VP)
(707) 330-0000
Entity
Organization
Contact information
Practice address
1611 HEIGHT ST, BAKERSFIELD, CA 93305-2840
(661) 872-2324
(661) 871-4661
Mailing address
540 W MONTE VISTA AVE, VACAVILLE, CA 95688-3620
(707) 449-3400
(707) 450-0954
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
120000162
CA
Other
Enumeration date
01/31/2014
Last updated
05/19/2014
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