Organization · NPI-2

3555 Ceasar Chavez

Skilled Nursing Facility · San Francisco, CA

NPI number1740309103
StatusActive
Last updated in NPPESJan 20, 2022

Details

NPI
1740309103
Entity type
Organization (NPI-2)
Legal business name
3555 Ceasar Chavez
Organization subpart
No
Enumeration date
Mar 28, 2007
Certification date
Jan 20, 2022
Last updated
Jan 20, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility220000070CAYes

Practice location

3555 Cesar Chavez
San Francisco, CA 94110-4403

Phone 415-647-8600

Mailing address

3555 Cesar Chavez
San Francisco, CA 94110-4403

Phone 415-647-8600

Authorized official

Michael P. Holdsworth
Vice President Of Admin Cfo
4156003959

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