Organization · Type 2 NPI

Petalumaidence Opco, LLC

Skilled Nursing Facility · Petaluma, CA

NPI number 1356883805 Active

Practice location

101 Monroe St
Petaluma, CA 94954-2328

Call (707) 763-4109 Map

Mailing address

262 N University Ave
Farmington, UT 84025-2975

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1356883805

Petalumaidence Opco, LLC's National Provider Identifier is 1356883805, issued on Nov 15, 2016. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Petaluma, CA. The record was last updated on Aug 20, 2024.