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Organization

JACKSON RIVER HOLDINGS LLC

Active
Other names
STRATFORD VILLA POST-ACUTE
Organization subpart
No

Provider details

NPI number
Authorized official
MYRNA DE GUZMAN (CORPORATE CONTROLLER)
(760) 331-3177
Entity
Organization

Contact information

Practice address
752 HOLMES ST, LIVERMORE, CA 94550-4229
(925) 447-2280
Mailing address
16885 W BERNARDO DR STE 216, SAN DIEGO, CA 92127-1620
(760) 331-3177

Taxonomy

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

Other

Enumeration date
02/12/2020
Last updated
02/12/2020
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