Healthcare Provider Details

I. General information

NPI: 1477850337
Provider Name (Legal Business Name): PACIFIC REHABILITATION & WELLNESS CENTER, LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2011
Last Update Date: 10/19/2022
Certification Date: 10/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 HARRISON AVE
EUREKA CA
95501-3214
US

IV. Provider business mailing address

2211 HARRISON AVE
EUREKA CA
95501-3214
US

V. Phone/Fax

Practice location:
  • Phone: 707-443-9767
  • Fax: 707-441-8447
Mailing address:
  • Phone: 707-443-9767
  • Fax: 707-441-8447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number010000051
License Number StateCA

VIII. Authorized Official

Name: SHLOMO RECHNITZ
Title or Position: MANAGER
Credential:
Phone: 626-800-1191