Organization
TRINITY OAKLAND, INC
Active
Other names
High Street Nursing Center llc
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL KLEIS (PRESIDENT)
(425) 820-9750
Entity
Organization
Contact information
Practice address
3145 HIGH ST, OAKLAND, CA 94619-1839
(510) 533-9970
(510) 533-5488
Mailing address
3145 HIGH ST, OAKLAND, CA 94619-1839
(510) 533-9970
(510) 533-5488
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
020000045
CA
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55499H
—
CA
Enumeration date
10/05/2006
Last updated
07/18/2008
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