Organization
RN ELDER CARE PROVIDER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADINE ANSELMO JUANI (ADMINISTRATOR)
(510) 209-9601
Entity
Organization
Contact information
Practice address
3179 SAN RAFAEL WAY, UNION CITY, CA 94587-2818
(510) 209-9601
(510) 487-2785
Mailing address
3179 SAN RAFAEL WAY, UNION CITY, CA 94587-2818
(510) 209-9601
(510) 487-2785
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
015601286
CA
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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