ENSIGN SANTA ROSA LLC
Nursing at Summerfield Rd, Santa Rosa, CA

License number
California 010000078
Category
Nursing
Type
Skilled Nursing Facility
Owner
Name: MS. SOON BURNAM
Title: TREASURER
Phone: (949) 540-1249
Address
Address
1280 Summerfield Rd, Santa Rosa, CA 95405
National Provider ID: 1619976552
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Ensign Santa Rosa LLC

San Juan Capistrano, CA  -  Santa Rosa, CA

Industry:
Operation of Long Term Care Facility and, Nonclassifiable Establishments, Insurance Companies
Registration:
Jun 29, 2000
Phone:
(707) 539-1515 (Phone)
Addresses:
27101 Puerta Real, San Juan Capistrano, CA 92691
1280 Summerfield Rd, Santa Rosa, CA 95405
State ID:
LLC6272-2000
Business type:
Domestic Limited-Liability Company
Entity State:
NV
Member, Manager:
Northern Pioneer Healthcare, Inc (Member, Manager)
Agent:
National Registered Agents, Inc. Of Nv

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