ROOSEVELT LAKE HOLDINGS LLC

MODESTO, CA
NPI1134003411
Doing Business AsSIERRA VISTA POST-ACUTE
Entity TypeOrganization
Authorized ContactTOBY TILFORD
CEO
858-774-8342
Organization Subpart ?No
Primary Taxonomy314000000X Skilled Nursing Facility
Enumeration Date2025-08-01
Last Update Date2025-08-01
Business Address
ROOSEVELT LAKE HOLDINGS LLC
1900 COFFEE RD
MODESTO, CA 95355-2703
Phone number: 209-526-1775
Mailing Address
ROOSEVELT LAKE HOLDINGS LLC
16544 FRANZEN FARM RD
SAN DIEGO, CA 92127-2240
Phone number: 858-798-5700