Healthcare Provider Details
I. General information
NPI: 1659935278
Provider Name (Legal Business Name): TWIN OAKS POST ACUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/29/2019
Last Update Date: 04/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
897 N M ST
TULARE CA
93274-2017
US
IV. Provider business mailing address
107 W LEMON AVE
MONROVIA CA
91016-2809
US
V. Phone/Fax
- Phone: 559-687-1340
- Fax:
- Phone: 323-836-9397
- 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:
CRYSTAL
SOLORZANO
Title or Position: MANAGER
Credential:
Phone: 626-658-7344