Organization
CHRISTIAN RETIREMENT CENTER OF NORTHERN CALIFORNIA
Active
Other names
Bethesda Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOVIAN W EKPENYONG N.H.A. (ADMINISTRATOR)
(707) 342-8398
Entity
Organization
Contact information
Practice address
22427 MONTGOMERY ST, HAYWARD, CA 94541-3945
(510) 538-8300
(510) 538-8443
Mailing address
22427 MONTGOMERY ST, HAYWARD, CA 94541-3945
(510) 538-8300
(510) 538-8443
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
020000013
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR06370F
—
CA
Enumeration date
08/30/2006
Last updated
08/15/2024
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