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Organization
JEWISH HOME FOR THE AGED PHCY
Active
Organization
JEWISH HOME FOR THE AGED PHCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA SIMON PHD (ADMIN)
(415) 469-2210
Entity
Organization
Contact information
Practice address
302 SILVER AVE, SAN FRANCISCO, CA 94112-1510
(415) 469-2265
(415) 469-2369
Mailing address
302 SILVER AVE, SAN FRANCISCO, CA 94112-1510
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
HSP16504
CA
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0544545
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHB165040
—
CA
Enumeration date
08/15/2006
Last updated
09/11/2025
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