551 Gibson Ave Snf LLC
NPI #1477298107 in Pacific Grove, California
Provider Information
- NPI Number
- 1477298107
- Entity Type
- Organization
- Organization Name
- 551 Gibson Ave Snf LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Apr 27, 2022
- Last Updated
- Apr 27, 2022
Practice Location
- Address
- 551 GIBSON AVE
- City
- Pacific Grove
- State
- California
- ZIP Code
- 93950-4330
- Phone
- (831) 657-5200
Authorized Official
- Name
- RICHARD MARTIN
- Title
- MANAGER
- Phone
- (831) 657-5200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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