NPI 1003538471
Heartwood Avenue LLC
Practice location
- Address
- 1044 Heartwood Ave, Vallejo, CA 94591-5637
- Phone
- (707) 643-2267
- Mailing address
- 4747 Viewridge Ave STE 105, San Diego, CA 92123-1688
Authorised official
- Name
- Richard Martin
- Title
- Manager
- Phone
- (707) 643-2267
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1003538471
- Entity type
- Organization
- NPI issued
- 13 Sep 2022
- Record last updated
- 13 Sep 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.