# JEWISH HOME FOR THE AGED PHCY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154334498
- **Authorized official:** SANDRA SIMON PHD (ADMIN)
- **Authorized official phone:** (415) 469-2210

## Contact information

- **Practice address:** 302 SILVER AVE, SAN FRANCISCO, CA 94112-1510
- **Practice address phone:** (415) 469-2265
- **Practice address fax:** (415) 469-2369
- **Mailing address:** 302 SILVER AVE, SAN FRANCISCO, CA 94112-1510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | HSP16504 | CA | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0544545 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | PHB165040 | — | CA |