Organization
CONVALESCENT CENTER MISSION ST. INC.
Active
Other names
San Francisco Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES PREIMESBERGER (PRESIDENT)
(925) 855-0881
Entity
Organization
Contact information
Practice address
5767 MISSION ST., SAN FRANCISCO, CA 94112
(415) 584-3294
(415) 584-7714
Mailing address
5000 EXECUTIVE PKWY, SUITE 150, SAN RAMON, CA 94583-4210
(925) 855-0881
(925) 855-9297
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR06449I
—
CA
Enumeration date
11/02/2005
Last updated
02/13/2014
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