Healthcare Provider Details

I. General information

NPI: 1710057492
Provider Name (Legal Business Name): YUBA CITY NURSING & REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 09/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 PLUMAS ST
YUBA CITY CA
95991-3411
US

IV. Provider business mailing address

1220 PLUMAS ST
YUBA CITY CA
95991-3411
US

V. Phone/Fax

Practice location:
  • Phone: 530-671-0550
  • Fax: 530-671-6384
Mailing address:
  • Phone: 530-671-0550
  • Fax: 530-671-6384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number230000129
License Number StateCA

VIII. Authorized Official

Name: MR. JAMES PAUL
Title or Position: CHIEF FINANCE OFFICER
Credential:
Phone: 530-671-0550