Fillmore Convalescent Center, LLC

NPI #1912997016 in Fillmore, California

Provider Information

NPI Number
1912997016
Entity Type
Organization
Organization Name
Fillmore Convalescent Center, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 28, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
118 B ST
ZIP Code
93015-1763
Phone
(805) 524-0083

Authorized Official

Name
MR. ANANIAS EDUARDO GONZALEZ
Title
PRESIDENT/CEO
Phone
(805) 524-0083

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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