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Organization
ST ANTHONY SERENETHOS SNF,LLC
Active
Organization
ST ANTHONY SERENETHOS SNF,LLC
Active
Other names
St Anthony Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
QING XIE (CEO)
(151) 073-3387
Entity
Organization
Contact information
Practice address
553 SMALLEY AVE, HAYWARD, CA 94541-4919
(510) 733-3877
(510) 446-8631
Mailing address
553 SMALLEY AVE, HAYWARD, CA 94541-4919
(510) 733-3877
(510) 446-8631
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346239928
NPI
—
05
—
1689063489
—
CA
05
—
ZZR05809I
—
CA
Enumeration date
01/15/2015
Last updated
02/17/2022
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