Well Trevi Carlotta Snf LLC
NPI #1093476905 in Palm Desert, California
Provider Information
- NPI Number
- 1093476905
- Entity Type
- Organization
- Organization Name
- Well Trevi Carlotta Snf LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 3, 2022
- Last Updated
- Jan 19, 2023
Practice Location
- Address
- 41505 CARLOTTA DR
- City
- Palm Desert
- State
- California
- ZIP Code
- 92211-3279
- Phone
- (760) 345-5420
Authorized Official
- Name
- MARY ELLEN PISANELLI
- Title
- AUTHORIZED REPRESENTATIVE
- Phone
- (419) 247-2800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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