Organization
MILLBRAE MANOR, INC
Active
Other names
Millbrae Manor, ICF
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMPARO B RAGUDO NHA (CFO)
(408) 315-9294
Entity
Organization
Contact information
Practice address
1001 HEMLOCK AVE, MILLBRAE, CA 94030-2046
(650) 689-5778
(650) 689-5783
Mailing address
5330 AREZZO DR, SAN JOSE, CA 95138-2201
(408) 315-9294
(408) 226-3800
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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