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Organization
CAPSTONE NGMC LLC
Active
Organization
CAPSTONE NGMC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHANIEL FRANCO CORRO (CEO)
(510) 589-6705
Entity
Organization
Contact information
Practice address
1644 CHENEY LANE, 1644 CHENEY LANE, HAYWARD, CA 94545-4331
(510) 670-0239
(510) 784-0294
Mailing address
1224 S JACK TONE RD, RIPON, CA 95366-9352
(510) 589-6705
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
04/12/2025
Last updated
04/12/2025
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