Watermark Carlotta, LLC
Skilled Nursing Facility in Palm Desert, CA. Organization (NPI-2).
NPI number1003201641
StatusActive
Last updated in NPPESJun 8, 2016
Details
- NPI
- 1003201641
- Entity type
- Organization (NPI-2)
- Legal business name
- Watermark Carlotta, LLC
- Organization subpart
- No
- Enumeration date
- Mar 31, 2015
- Last updated
- Jun 8, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 250000099 | CA | Yes |
Other names
- The Springs At The Carlotta (Doing Business As)
Practice location
41505 Carlotta DrPalm Desert, CA 92211-3279
Phone 760-346-5420 · Fax 760-341-7768
Mailing address
2020 W Rudasill RdAttn: Medicare Billing
Tucson, AZ 85704-7800
Phone 520-797-4000 · Fax 520-797-7757
Authorized official
Greta Frazier
Director
5207974000
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