Provider Demographics
NPI:1023646445
Name:YUBA SUTTER CARE HOME
Entity type:Organization
Organization Name:YUBA SUTTER CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MANPREET
Authorized Official - Middle Name:
Authorized Official - Last Name:DYAL
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:530-933-8109
Mailing Address - Street 1:920 BOGUE RD
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-9248
Mailing Address - Country:US
Mailing Address - Phone:530-329-8222
Mailing Address - Fax:
Practice Address - Street 1:920 BOGUE RD
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-9248
Practice Address - Country:US
Practice Address - Phone:530-329-8222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-31
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility