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Organization

GAFFAR ENTERPRISES INC

Active
Other names
LAKESHORE CONV HOSPITAL
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GAFFAR SYED ADOMINSTRATOR (ADMINSTRATOR)
(510) 834-9880
Entity
Organization

Contact information

Practice address
1901 3RD AVE, OAKLAND, CA 94606-1853
(510) 834-9880
(510) 763-7367
Mailing address
1901 3RD AVE, OAKLAND, CA 94606-1853
(510) 834-9880
(510) 763-7367

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
ZZR05543I
CA

Other

Enumeration date
10/14/2005
Last updated
08/22/2020
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