# AGSE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Marin Health & Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902329782
- **Authorized official:** JEFFREY BRADSHAW (MANAGER)
- **Authorized official phone:** (949) 347-7100

## Contact information

- **Practice address:** 1220 S ELISEO DR, GREENBRAE, CA 94904-2006
- **Practice address phone:** (415) 461-9700
- **Mailing address:** 28202 CABOT RD STE 412, LAGUNA NIGUEL, CA 92677-1271
- **Mailing address phone:** (949) 347-7100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 10000354 | CA | Yes |

## Other

- **Enumeration date:** 07/24/2017
- **Last updated:** 07/24/2017