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Organization

OAKRIDGE CARE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALBA TILLER (PRESIDENT)
(925) 808-6540
Entity
Organization

Contact information

Practice address
2919 FRUITVALE AVE, OAKLAND, CA 94602-2108
(510) 261-8564
(510) 261-0408
Mailing address
1355 WILLOW WAY, SUITE 264, CONCORD, CA 94520-5723
(925) 808-6540

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
48118772
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZR06280J
CA
Enumeration date
08/31/2006
Last updated
08/22/2020
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