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Organization

CHENEY HOME ICF-DD/N

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RITA IRENE REGINALDO-ROXAS (RN/ADMINISTRATOR)
(510) 861-2635
Entity
Organization

Contact information

Practice address
1644 CHENEY LN, HAYWARD, CA 94545-4331
(510) 670-0239
(510) 784-0294
Mailing address
1755 CANTERBURY LN, HAYWARD, CA 94544-8710
(510) 861-2635
(510) 784-0294

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
550001210
CA

Other

Enumeration date
08/28/2015
Last updated
08/28/2015
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