Sonomaidence Opco, LLC
NPI #1154863603 in Sonoma, California
Provider Information
- NPI Number
- 1154863603
- Entity Type
- Organization
- Organization Name
- Sonomaidence Opco, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 15, 2016
- Last Updated
- Aug 20, 2024
Practice Location
- Address
- 678 2ND ST W
- City
- Sonoma
- State
- California
- ZIP Code
- 95476-6901
- Phone
- (707) 938-1096
Authorized Official
- Name
- JOHN MITCHELL
- Title
- SECRETARY
- Phone
- (385) 988-3319
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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