NPI: 1760496566 · SANTA ROSA, CA 95404 · Skilled Nursing Facility · NPI assigned 07/28/2006
| Authorized Official | THEKKEK, PREMA (VICE PRESIDENT) |
| NPI Enumeration Date | 07/28/2006 |
Other providers sharing the same authorized official: THEKKEK, PREMA
| Provider | City | State | Total Paid |
|---|---|---|---|
| SAGAR INC. | FAIRFIELD | CA | $6K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 40 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99304 | 40 | 39 | $8K |