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Organization
CONVALESCENT CENTER MISSION ST. INC.
Active
Organization
CONVALESCENT CENTER MISSION ST. INC.
Active
Other names
San Francisco Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES PREIMESBERGER (PRESIDENT)
(925) 855-0881
Entity
Organization
Contact information
Practice address
5767 MISSION ST., SAN FRANCISCO, CA 94112
(415) 584-3294
(415) 584-7714
Mailing address
5000 EXECUTIVE PKWY, SUITE 150, SAN RAMON, CA 94583-4210
(925) 855-0881
(925) 855-9297
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR06449I
—
CA
Enumeration date
11/02/2005
Last updated
02/13/2014
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