Organization
RAFAEL CONVALESCENT HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY EGAN (ADMINISTRATOR)
(415) 479-3450
Entity
Organization
Contact information
Practice address
234 N SAN PEDRO RD, SAN RAFAEL, CA 94903-2858
(415) 479-3450
(415) 472-3723
Mailing address
234 N SAN PEDRO RD, SAN RAFAEL, CA 94903-2858
(415) 479-3450
(415) 472-3723
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05310F4
—
CA
Enumeration date
01/10/2007
Last updated
08/22/2020
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