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Organization
TRINITY OAKLAND, INC
Active
Organization
TRINITY OAKLAND, INC
Active
Other names
High Street Nursing Center llc
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL KLEIS (PRESIDENT)
(425) 820-9750
Entity
Organization
Contact information
Practice address
3145 HIGH ST, OAKLAND, CA 94619-1839
(510) 533-9970
(510) 533-5488
Mailing address
3145 HIGH ST, OAKLAND, CA 94619-1839
(510) 533-9970
(510) 533-5488
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
020000045
CA
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55499H
—
CA
Enumeration date
10/05/2006
Last updated
07/18/2008
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