Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARDENSIDE ELDERCARE, LLC
Active OrganizationGARDENSIDE ELDERCARE, LLC is a Physical Disabilities Residential Treatment Facility organization located in FORTUNA, California. NPI 1063791713 is currently active in the NPPES registry. Verify at CMS.
Physical Disabilities Residential Treatment Facility · FORTUNA, CA
Registration Details
- NPI Number
- 1063791713
- Provider Type
- Organization
- NPI Issued
- Aug 12, 2011 (14.823595947927 yrs)
- Last Updated
- Aug 12, 2011
- License
-
126802046 (CA)
Practice Information
- Address
-
529 9TH STREETFORTUNA, CA, 95540Browse CA providers · Browse ZIP 95540
- Phone
- 7077257873
- Fax
- 7072157036
- Primary Specialty
-
Physical Disabilities Residential Treatment Facility
320700000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.