Provider Demographics
NPI:1801619325
Name:SAVANNA ASSISTED LIVING II
Entity type:Organization
Organization Name:SAVANNA ASSISTED LIVING II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ADHIAMBO
Authorized Official - Last Name:MAZIBUKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-742-3141
Mailing Address - Street 1:16616 MILLWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93314-8221
Mailing Address - Country:US
Mailing Address - Phone:661-556-4752
Mailing Address - Fax:661-412-4448
Practice Address - Street 1:4104 RIO VIEJO DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93313-5021
Practice Address - Country:US
Practice Address - Phone:661-556-4752
Practice Address - Fax:661-412-4446
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAVANNA ASSISTED LIVING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility