Organization
PLEASANT CARE CORPORATION
Active
Other names
Pleasant care Convalescent Petaluma
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH PADRE (DIRECTOR OF REIMBURSEMENT)
(818) 248-9808
Entity
Organization
Contact information
Practice address
523 HAYES LN, PETALUMA, CA 94952-4011
(707) 763-2457
(707) 763-7210
Mailing address
2258 FOOTHILL BLVD STE 6, LA CANADA, CA 91011-1476
(818) 248-9808
(818) 541-7072
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55703F
—
CA
Enumeration date
07/16/2006
Last updated
08/22/2020
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