Organization
MERCY RETIREMENT AND CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADRIENE IVERSON (CEO)
(510) 769-2700
Entity
Organization
Contact information
Practice address
3431 FOOTHILL BLVD, OAKLAND, CA 94601-3129
(510) 534-8540
(510) 261-4516
Mailing address
3431 FOOTHILL BLVD, OAKLAND, CA 94601-3129
(510) 534-8540
(510) 261-4516
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
020000237
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55189F
—
CA
Enumeration date
10/28/2005
Last updated
06/21/2018
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