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Organization

CASA COLOMA HOLDINGS, LLC

Active
Other names
Casa Coloma Health Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD MARTIN (MANAGER)
(916) 363-4843
Entity
Organization

Contact information

Practice address
10410 COLOMA RD, RANCHO CORDOVA, CA 95670-2108
(916) 363-4843
Mailing address
4747 VIEWRIDGE AVE STE 105, SAN DIEGO, CA 92123-1688
(916) 363-4843

Taxonomy

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

Other

Enumeration date
06/09/2020
Last updated
01/04/2023
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