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Organization
SALEM LUTHERAN HOME ASSOCIATION OF THE BAY CITIES
Active
Organization
SALEM LUTHERAN HOME ASSOCIATION OF THE BAY CITIES
Active
Other names
Salem Lutheran Home
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE JANTZEN (CEO)
(510) 769-2700
Entity
Organization
Contact information
Practice address
2361 E 29TH ST, OAKLAND, CA 94606-3511
(510) 534-3637
(510) 537-0851
Mailing address
2361 E 29TH ST, OAKLAND, CA 94606-3511
(510) 534-3637
(510) 537-0851
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
020000442
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55570F
—
CA
Enumeration date
10/28/2005
Last updated
06/21/2018
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