Organization
G & R ALAMEDA HEALTHCARE SERVICES, LLC
Active
Other names
Crown Bay Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY AGONCILLO (FINANCE MANAGER)
(626) 304-6900
Entity
Organization
Contact information
Practice address
508 WESTLINE DR, ALAMEDA, CA 94501-5847
(510) 521-5765
(510) 521-1977
Mailing address
445 S FAIR OAKS AVE, PASADENA, CA 91105-2632
(626) 304-6900
(626) 564-2617
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR06103H
—
CA
Enumeration date
08/14/2007
Last updated
11/19/2015
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