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Organization

KINDRED NURSING CENTERS WEST, LLC

Active
Other names
Kindred Transitional Care and Rehabilitation - Valley Gardens
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARILYN A. WEAVER (ASSISTANT SECRETARY)
(502) 596-7563
Entity
Organization

Contact information

Practice address
1517 E KNICKERBOCKER DR, STOCKTON, CA 95210-3119
(209) 957-4539
(209) 957-5831
Mailing address
680 S. 4TH STREET, LOUISVILLE, KY 40202-2407
(502) 596-7301
(502) 596-4134

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
LTC55307I
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
LTC55307I
CA
Enumeration date
07/30/2006
Last updated
09/28/2017
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