Organization
JEWISH HOME FOR THE AGED PHCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA SIMON PHD (ADMIN)
(415) 469-2210
Entity
Organization
Contact information
Practice address
302 SILVER AVE, SAN FRANCISCO, CA 94112-1510
(415) 469-2265
(415) 469-2369
Mailing address
302 SILVER AVE, SAN FRANCISCO, CA 94112-1510
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
HSP16504
CA
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0544545
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHB165040
—
CA
Enumeration date
08/15/2006
Last updated
09/11/2025
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