Sebastopol Convalescent Hospital
NPI #1568459147 in Sebastopol, California
Provider Information
- NPI Number
- 1568459147
- Entity Type
- Organization
- Organization Name
- Sebastopol Convalescent Hospital
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 29, 2005
- Last Updated
- Jun 20, 2008
Practice Location
- Address
- 477 PETALUMA AVE
- City
- Sebastopol
- State
- California
- ZIP Code
- 95472-4206
- Phone
- (707) 823-7855
Authorized Official
- Name
- MR. KENNETH CHAMBERS
- Title
- OFFICE MANAGER
- Phone
- (707) 823-7855
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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