Organization
KOOBAMO,LLC
Active
Organization
KOOBAMO,LLC
Active
Other names
Good Shepherd Vista
Organization subpart
No
Provider details
NPI number
Authorized official
HASMIN KOO (MANAGING MEMBER)
(408) 202-2236
Entity
Organization
Contact information
Practice address
5472 FOOTHILL BLVD, OAKLAND, CA 94601-5516
(408) 202-2236
Mailing address
5472 FOOTHILL BLVD, OAKLAND, CA 94601-5516
(408) 202-2236
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
019200695
CA
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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