# BAYWOOD COURT SKILLED NURSING FACILITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EDEN MEDICAL CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699720862
- **Legal business name:** EDEN MEDICAL CENTER
- **Authorized official:** MR. GEORGE DERBEDROSIAN (REGIONAL DIRECTOR - PFS)
- **Authorized official phone:** (510) 869-6163

## Contact information

- **Practice address:** 20103 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-5341
- **Practice address phone:** (510) 727-8290
- **Practice address fax:** (510) 582-1730
- **Mailing address:** 3012 SUMMIT ST, OAKLAND, CA 94609-3480
- **Mailing address phone:** (510) 869-6591
- **Mailing address fax:** (510) 869-6592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 140000030 | CA | Yes |

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 09/13/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC55454G | — | CA |
