| NPI | 1801697966 |
|---|---|
| Doing Business As | OTHELLO POST ACUTE |
| Entity Type | Organization |
| Authorized Contact | RYAN WILLIAMS Manager 916-945-1248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-03-24 |