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Organization
SHORELINE SOUTH INTERMEDIATE CARE, INC.
Active
Organization
SHORELINE SOUTH INTERMEDIATE CARE, INC.
Active
Parent organization
WESTLINE MEDICAL MANAGERMENT INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTLINE MEDICAL MANAGERMENT INC
Authorized official
SHIRLEY S MA (ADMINISTRATOR)
(510) 523-8857
Entity
Organization
Contact information
Practice address
430 WILLOW ST, ALAMEDA, CA 94501-6130
(510) 523-8857
(510) 523-8940
Mailing address
430 WILLOW ST, ALAMEDA, CA 94501-6130
(510) 523-8857
(510) 523-8940
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
020000268
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR18475I
—
CA
Enumeration date
04/03/2006
Last updated
02/03/2010
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