Coastside Convalescent Associates Llc

NPI 1134526783 - Assisted Living Facility - 310400000X

NPI Details
NPI 1134526783
Enumeration Date 11/25/2014
Last Updated 11/25/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name SHAROLYN SHAROLYN
Position ADMINISTRATOR
Phone (650) 728-5483
Fax (650) 728-8649
Practice Location
1186 ACACIA STREET
MONTARA CA, 94037-1252, US
Phone (650) 728-5483
Fax (650) 728-8649
Business Location
1186 ACACIA STREET
MONTARA CA, 94037-1252, US
Phone (650) 728-5483
Fax (650) 728-8649
Toxanomy
Taxonomy Code 310400000X
License State California
License Number 415600502
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According to our database, Coastside Convalescent Associates Llc NPI is 1134526783, taxonomy code is 310400000X and license number is 415600502, license state is located at California. Coastside Convalescent Associates Llc physically located at 1186 Acacia Street, Montara CA, 94037-1252. NPI Number 1033115704 has the healthcare provider type.

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1134526783 NPI number is provided on an as is basis without warranty of any kind. 1134526783 is maintained by the National Plan & Provider Enumeration System. The contents of Coastside Convalescent Associates Llc are for informational purposes only.