Redwod Shore Empire, LLC
NPI #1710165162 in Ukiah, California
Provider Information
- NPI Number
- 1710165162
- Entity Type
- Organization
- Organization Name
- Redwod Shore Empire, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Feb 7, 2008
- Last Updated
- Feb 7, 2008
Practice Location
- Address
- 131 WHITMORE LN
- City
- Ukiah
- State
- California
- ZIP Code
- 95482-6931
- Phone
- (209) 576-5725
Authorized Official
- Name
- MRS. THRESIAMMA J PALLIVATHUCAL, RN
- Title
- OWNER
- Phone
- (209) 576-5725
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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