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Organization
PENINSULA CONVALESCENT ASSOCIATES LLC
Active
Organization
PENINSULA CONVALESCENT ASSOCIATES LLC
Active
Other names
CARLMONT GARDENS NURSING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA ANN VIEIRA (CONTROLLER)
(650) 591-9601
Entity
Organization
Contact information
Practice address
2140 CARLMONT DR, BELMONT, CA 94002-3417
(650) 591-9601
(650) 591-2446
Mailing address
2140 CARLMONT DR, BELMONT, CA 94002-3417
(650) 591-9601
(650) 591-2446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
220000004
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55657G
—
CA
Enumeration date
10/10/2006
Last updated
12/06/2012
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