- Enrollment id
- O20091110000663
- Enrollment state
- CA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1114150448
- Multiple npi flag
- N
- Ccn
- 555256
- Associate id
- 1153469259
- Organization name
- BAKERSFIELD HEALTHCARE & WELLNESS CENTRE LLC
- Doing business as name
- THE REHABILITATION CENTER OF BAKERSFIELD
- Incorporation date
- 2009-07-30
- Incorporation state
- CA
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- THE REHABILITATION CENTER OF BAKERSFIELD
- Affiliation entity name
- CITRUS WELLNESS CENTRE
- Affiliation entity id
- 849
- Address line 1
- 2211 MOUNT VERNON AVE
- City
- BAKERSFIELD
- State
- CA
- Zip code
- 933063309