| Organization Name: | PENN VALLEY SEVENTH-DAY ADVENTIST CHURCH |
| NPI Number: | 1568719813 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD MAGNUSON (DIRECTOR PROPERTY & RISK MANAGEMENT) |
| Mailing Address: | 17645 Penn Valley Dr Penn Valley |
| State: | CA US |
| Postal Code: | 959469998 |
| Phone Number: | 5304322540 |
| Fax Number: | 5304322479 |
| NPI Enumeration Date: | 08/06/2012 |
| NPI Last Update Date: | 08/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | 297004181 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |