Organization
14766 WASHINGTON AVENUE OPERATIONS LLC
Active
Other names
Washington Center
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE V HAGER (PRESIDENT DIRECTOR)
(505) 821-3355
Entity
Organization
Contact information
Practice address
14766 WASHINGTON AVE, SAN LEANDRO, CA 94578-4220
(510) 352-2211
(510) 352-2181
Mailing address
101 E STATE ST, COMPLIANCE DEPARTMENT, KENNETT SQUARE, PA 19348-3109
(505) 468-4742
(505) 468-8742
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
020000260
CA
314000000X
Skilled Nursing Facility
Primary
020000260
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
850370802
HEARTLAND HOSPICE
CA
05
—
ZZR06121I
—
CA
Enumeration date
05/28/2006
Last updated
03/18/2014
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