Nightshade Holdings, LLC
NPI #1871891002 in Ukiah, California
Provider Information
- NPI Number
- 1871891002
- Entity Type
- Organization
- Organization Name
- Nightshade Holdings, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 11, 2011
- Last Updated
- Aug 20, 2024
Practice Location
- Address
- 1162 S DORA ST
- City
- Ukiah
- State
- California
- ZIP Code
- 95482-6340
- Phone
- (707) 462-1436
Authorized Official
- Name
- JOHN MITCHELL
- Title
- SECRETARY
- Phone
- (385) 988-3319
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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