Organization
SSC OAKLAND FRUITVALE OPERATING COMPANY LP
Active
Other names
Fruitvale Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
KELLE C SANTORO (SR DIRECTOR AR)
(832) 467-5728
Entity
Organization
Contact information
Practice address
3020 E 15TH ST, OAKLAND, CA 94601-2305
(510) 261-5613
(510) 261-5940
Mailing address
5300 W SAM HOUSTON PKWY N, SUITE 100, HOUSTON, TX 77041-5161
(832) 467-6000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
020000067
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC90060H
—
CA
Enumeration date
01/31/2007
Last updated
04/09/2015
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