Gardenside Eldercare, LLC
NPI #1063791713 in Fortuna, California
Provider Information
- NPI Number
- 1063791713
- Entity Type
- Organization
- Organization Name
- Gardenside Eldercare, LLC
- Primary Specialty
- Residential Treatment Facility, Physical Disabilities
- Enumeration Date
- Aug 12, 2011
- Last Updated
- Aug 12, 2011
Practice Location
- Address
- 529 9TH STREET
- City
- Fortuna
- State
- California
- ZIP Code
- 95540
- Phone
- (707) 725-7873
Authorized Official
- Name
- MRS. TRINA KELLER
- Title
- MEMBER
- Phone
- (707) 725-7873
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Physical Disabilities |
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