Organization
SHATTUCK HEALTHCARE INC
Active
Other names
Elmwood Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAT PODDATOORI (OWNER)
(510) 677-3566
Entity
Organization
Contact information
Practice address
2829 SHATTUCK AVE, BERKELEY, CA 94705-0000
(510) 352-3402
(510) 843-0133
Mailing address
524 CALLAN AVE, SAN LEANDRO, CA 94577-0000
(510) 352-3402
(510) 352-8530
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
02 0000032
CA
Other
Enumeration date
11/21/2006
Last updated
01/13/2025
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