Organization
BRODERICK SKILLED NURSING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LETICIA LUCERO DE SILVA (L.V.N.)
(650) 921-5633
Entity
Organization
Contact information
Practice address
1421 BRODERICK ST, SAN FRANCISCO, CA 94115-3304
(415) 292-1760
(415) 292-1636
Mailing address
1421 BRODERICK ST, SAN FRANCISCO, CA 94115-3304
(415) 292-1760
(415) 292-1636
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
258102
CA
Other
Enumeration date
08/05/2011
Last updated
08/08/2011
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