Heartwood Avenue LLC
NPI #1003538471 in Vallejo, California
Provider Information
- NPI Number
- 1003538471
- Entity Type
- Organization
- Organization Name
- Heartwood Avenue LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 13, 2022
- Last Updated
- Sep 13, 2022
Practice Location
- Address
- 1044 HEARTWOOD AVE
- City
- Vallejo
- State
- California
- ZIP Code
- 94591-5637
- Phone
- (707) 643-2267
Authorized Official
- Name
- RICHARD MARTIN
- Title
- MANAGER
- Phone
- (707) 643-2267
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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