Healthcare Provider Details
I. General information
NPI: 1144911199
Provider Name (Legal Business Name): VALLEY POST-ACUTE AND REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/18/2023
Last Update Date: 12/29/2023
Certification Date: 12/29/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1205 8TH ST
BAKERSFIELD CA
93304-2123
US
IV. Provider business mailing address
4221 WILSHIRE BLVD STE 290-9
LOS ANGELES CA
90010-3530
US
V. Phone/Fax
- Phone: 661-334-2200
- Fax:
- Phone: 323-842-8800
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
DAVID
LEVY
Title or Position: MANAGER
Credential:
Phone: 323-842-8800