Live Oak Rest Home
NPI #1346958485 in Sebastopol, California
Provider Information
- NPI Number
- 1346958485
- Entity Type
- Organization
- Organization Name
- Live Oak Rest Home
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Nov 8, 2022
- Last Updated
- Nov 8, 2022
Practice Location
- Address
- 604 LIVE OAK AVE
- City
- Sebastopol
- State
- California
- ZIP Code
- 95472-3363
- Phone
- (707) 823-7277
Authorized Official
- Name
- MR. NICHOLAS LEON RAY
- Title
- LICENSEE
- Phone
- (707) 514-6727
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility - Assisted Living, Behavioral Disturbances — Assisted Living, Behavioral Disturbances |
| Assisted Living Facility |
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