# MILLBRAE SKILLED CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Millbrae Skilled Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598148983
- **Authorized official:** JAMES R PREIMESBERGER (MANAGER)
- **Authorized official phone:** (925) 855-0881

## Contact information

- **Practice address:** 5000 EXECUTIVE PKWY, STE 150, SAN RAMON, CA 94583-4210
- **Practice address phone:** (925) 855-0881
- **Practice address fax:** (925) 855-9297
- **Mailing address:** 5615 COTTLE RD, SAN JOSE, CA 95123-3625
- **Mailing address phone:** (408) 226-0300
- **Mailing address fax:** (408) 226-3800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2015
- **Last updated:** 07/02/2015