Broderick Skilled Nursing Facility

NPI 1043599251 - Residential Treatment Facility, Physical Disabilities - 320700000X

NPI Details
NPI 1043599251
Enumeration Date 08/05/2011
Last Updated 08/08/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name LETICIA LUCERO LETICIA
Position L.V.N.
Phone (415) 292-1760
Fax (415) 292-1636
Practice Location
1421 BRODERICK ST
SAN FRANCISCO CA, 94115-3304, US
Phone (415) 292-1760
Fax (415) 292-1636
Business Location
1421 BRODERICK ST
SAN FRANCISCO CA, 94115-3304, US
Phone (415) 292-1760
Fax (415) 292-1636
Toxanomy
Taxonomy Code 320700000X
License State California
License Number 258102
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According to our database, Broderick Skilled Nursing Facility NPI is 1043599251, taxonomy code is 320700000X and license number is 258102, license state is located at California. Broderick Skilled Nursing Facility physically located at 1421 Broderick St, San Francisco CA, 94115-3304. NPI Number 1033115704 has the healthcare provider type.

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1043599251 NPI number is provided on an as is basis without warranty of any kind. 1043599251 is maintained by the National Plan & Provider Enumeration System. The contents of Broderick Skilled Nursing Facility are for informational purposes only.