Organization · NPI-2
Convalescent Center Mission St. INC.
Skilled Nursing Facility · San Francisco, CA
NPI number1194716712
StatusActive
Last updated in NPPESFeb 13, 2014
Details
- NPI
- 1194716712
- Entity type
- Organization (NPI-2)
- Legal business name
- Convalescent Center Mission St. INC.
- Organization subpart
- No
- Enumeration date
- Nov 2, 2005
- Last updated
- Feb 13, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
| 332BN1400X | Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | – | – | |
| 332BP3500X | Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | – | – |
Other names
- San Francisco Nursing Center (Doing Business As)
Practice location
5767 Mission St.San Francisco, CA 94112
Phone 415-584-3294 · Fax 415-584-7714
Mailing address
5000 Executive PkwySuite 150
San Ramon, CA 94583-4210
Phone 925-855-0881 · Fax 925-855-9297
Authorized official
James Preimesberger
President
9258550881
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