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NPI Code Detail

MEDICARE: FEATHER RIVER CARE CENTER LLC

MEDICARE: FEATHER RIVER CARE CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center
2261QX0100XOccupational Medicine Clinic/Center
3261QH0700XHearing and Speech Clinic/Center
4314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1376297143
Entity Type Code : Organization
Provider Name (Legal Business Name) : FEATHER RIVER CARE CENTER LLC
Provider Business Mailing Address
First Line : 662 ENCINITAS BLVD STE 216
Second Line :
City : ENCINITAS
State : CA
Zip : 92024-6790
Country : US
Telephone Number : 760-652-6354
Fax Number :
Provider Business Practice Location Address
First Line : 1 GILMORE LN
Second Line :
City : OROVILLE
State : CA
Zip : 95966-5147
Country : US
Telephone Number : 530-534-1353
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : AARON CHESLEY
Credential :
Telephone Number : 530-534-1353
Provider Enumeration Date : 02/09/2022
Last Update Date : 01/26/2024

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Directions to “FEATHER RIVER CARE CENTER LLC ” Practice Location

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