NPI 1538048962

Porcini LLC Wild Rose Living

Organisation Custodial Care Facility Santa Rosa, CA

Practice location

Address: 1172 Wild Rose Dr, Santa Rosa, CA 95401-5058
Phone: (707) 291-5756
Fax: (707) 838-0820

Authorised official

Name: Pamela Johnson
Title: Managing Member/Administrator
Phone: (707) 291-5756

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X

Other Custodial Care Facility providers in California →

Registry record

NPI: 1538048962
Entity type: Organization
NPI issued: 29 Aug 2025
Record last updated: 20 Nov 2025

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.