Organization
FRUITVALE OPERATING COMPANY, LP
Active
Other names
Fruitvale Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA W TAETZ (PRESIDENT)
(805) 804-8111
Entity
Organization
Contact information
Practice address
3020 E 15TH ST, OAKLAND, CA 94601-2305
(510) 261-5613
Mailing address
3060 MERCER UNIVERSITY DR STE 200, ATLANTA, GA 30341-4135
(678) 443-6772
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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