Organization
TARA MANOR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MARIE VERIDIANO MD (PRESIDENT)
(650) 216-9960
Entity
Organization
Contact information
Practice address
2545 TARA LN, SOUTH SAN FRANCISCO, CA 94080-5114
(650) 216-9960
(650) 216-9455
Mailing address
2893 EL CAMINO REAL STE C, REDWOOD CITY, CA 94061-4039
(650) 216-9960
(650) 216-9455
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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