Organization
WINDSOR MONTEREY CARE CENTER, LLC
Active
Other names
Windsor Monterey 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
1575 SKYLINE DR, MONTEREY, CA 93940-4110
(831) 373-2731
(831) 373-3162
Mailing address
1575 SKYLINE DR, MONTEREY, CA 93940-4110
(831) 373-2731
(831) 373-3162
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05962J
—
CA
Enumeration date
01/29/2007
Last updated
08/22/2020
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