Oaklandidence Opco, LLC
Skilled Nursing Facility in Oakland, CA. Organization (NPI-2).
NPI number1982127338
StatusActive
Last updated in NPPESAug 20, 2024
Details
- NPI
- 1982127338
- Entity type
- Organization (NPI-2)
- Legal business name
- Oaklandidence Opco, LLC
- Organization subpart
- No
- Enumeration date
- Jul 18, 2017
- Certification date
- Aug 20, 2024
- Last updated
- Aug 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Medical Hill Healthcare Center (Doing Business As)
Practice location
475 29th StOakland, CA 94609-3510
Phone 510-832-3222
Mailing address
262 N University AveFarmington, UT 84025-2975
Authorized official
John Mitchell
Secretary
3859883319
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