Ensign Cloverdale LLC
NPI #1245225176 in Cloverdale, California
Provider Information
- NPI Number
- 1245225176
- Entity Type
- Organization
- Organization Name
- Ensign Cloverdale LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 16, 2005
- Last Updated
- Feb 17, 2021
Practice Location
- Address
- 300 CHERRY CREEK ROAD
- City
- Cloverdale
- State
- California
- ZIP Code
- 95425-3811
- Phone
- (707) 894-5201
Authorized Official
- Name
- MS. SOON BURNAM
- Title
- AUTHORIZED AGENT
- Phone
- (949) 540-1249
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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