# FOG CITY HOME HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396010864
- **Authorized official:** MS. KAREN L SCHULKIN RN (ADMINISTRATOR)
- **Authorized official phone:** (415) 515-2204

## Contact information

- **Practice address:** 595 BUCKINGHAM WAY STE 317, SAN FRANCISCO, CA 94132-1911
- **Practice address phone:** (415) 515-2204
- **Practice address fax:** (415) 665-2775
- **Mailing address:** 595 BUCKINGHAM WAY STE 317, SAN FRANCISCO, CA 94132-1911
- **Mailing address phone:** (415) 515-2204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 251E0000X | CA | Yes |

## Other

- **Enumeration date:** 03/17/2012
- **Last updated:** 03/17/2012