| NPI | 1003633967 |
|---|---|
| Doing Business As | SHASTA POST ACUTE |
| Entity Type | Organization |
| Authorized Contact | EVANGELINE R POWELL CEO 909-904-9048 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |