Organization
MASONIC HOMES OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCO DIAMOND NHA, MS (ADMINISTRATOR)
(510) 429-6465
Entity
Organization
Contact information
Practice address
34400 MISSION BLVD, UNION CITY, CA 94587-3604
(510) 429-6465
Mailing address
34400 MISSION BLVD, UNION CITY, CA 94587-3604
(510) 429-6465
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
020000063
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC 55843F
—
CA
Enumeration date
05/14/2007
Last updated
09/11/2015
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