Organization
AMERICAN STAR HOME 3 ICF/DD-N
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKY SANTOS TING BSN (PRESIDENT/ADMINISTRATOR/OWNER)
(925) 813-1979
Entity
Organization
Contact information
Practice address
125 BROWNSTONE ROAD, OAKLEY, CA 94561-5900
(925) 625-7354
(925) 625-7384
Mailing address
2009 FITZGERALD WAY, BRENTWOOD, CA 94513
(925) 813-1979
(925) 420-6748
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
01/28/2008
Last updated
02/24/2024
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