Fern Lodge, Inc.

NPI 1114115417 - Religious Nonmedical Health Care Institution - 282J00000X

NPI Details
NPI 1114115417
Enumeration Date 10/11/2007
Last Updated 01/16/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GEORGE GEORGE
Position ADMINISTRATOR
Phone (510) 886-2448
Fax (510) 886-5992
Practice Location
18457 MADISON AVE
CASTRO VALLEY CA, 94546-1637, US
Phone (510) 886-2448
Fax (510) 886-5992
Business Location
18457 MADISON AVE
CASTRO VALLEY CA, 94546-1637, US
Phone (510) 886-2448
Fax (510) 886-5992
Toxanomy
Taxonomy Code 282J00000X
License State
License Number
Remove 1114115417 NPI Number
 

According to our database, Fern Lodge, Inc. NPI is 1114115417, taxonomy code is 282J00000X Fern Lodge, Inc. physically located at 18457 Madison Ave, Castro Valley CA, 94546-1637. NPI Number 1033115704 has the healthcare provider type.

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1114115417 NPI number is provided on an as is basis without warranty of any kind. 1114115417 is maintained by the National Plan & Provider Enumeration System. The contents of Fern Lodge, Inc. are for informational purposes only.