Organization
PORTECTION OF MOTHER OF GOD DBA ANASTASIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OCTAVIAN MAHLER (LICENSEE)
(510) 692-7785
Entity
Organization
Contact information
Practice address
3646 EAST AVE, LIVERMORE, CA 94550-4862
(510) 692-7785
Mailing address
3646 EAST AVE, LIVERMORE, CA 94550-4862
(510) 692-7785
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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