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Organization
FMSC SAN RAFAEL OPERATING COMPANY LP
Active
Organization
FMSC SAN RAFAEL OPERATING COMPANY LP
Active
Other names
Pineridge Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA SAAVEDRA (REGIONAL FINANCIAL ANALYST)
(707) 208-1940
Entity
Organization
Contact information
Practice address
45 PROFESSIONAL CENTER PKWY, SAN RAFAEL, CA 94903-2702
(415) 479-3610
Mailing address
45 PROFESSIONAL CENTER PKWY, SAN RAFAEL, CA 94903-2702
(415) 479-3610
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
314000000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05850M
—
CA
Enumeration date
02/07/2006
Last updated
06/20/2014
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