Organization
SHORELINE SOUTH INTERMEDIATE CARE, INC.
Active
Parent organization
WESTLINE MEDICAL MANAGERMENT INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTLINE MEDICAL MANAGERMENT INC
Authorized official
SHIRLEY S MA (ADMINISTRATOR)
(510) 523-8857
Entity
Organization
Contact information
Practice address
430 WILLOW ST, ALAMEDA, CA 94501-6130
(510) 523-8857
(510) 523-8940
Mailing address
430 WILLOW ST, ALAMEDA, CA 94501-6130
(510) 523-8857
(510) 523-8940
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
020000268
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR18475I
—
CA
Enumeration date
04/03/2006
Last updated
02/03/2010
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