Organization
FMSC SAN RAFAEL OPERATING COMPANY LP
Active
Other names
Pineridge Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA SAAVEDRA (REGIONAL FINANCIAL ANALYST)
(707) 208-1940
Entity
Organization
Contact information
Practice address
45 PROFESSIONAL CENTER PKWY, SAN RAFAEL, CA 94903-2702
(415) 479-3610
Mailing address
45 PROFESSIONAL CENTER PKWY, SAN RAFAEL, CA 94903-2702
(415) 479-3610
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
314000000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05850M
—
CA
Enumeration date
02/07/2006
Last updated
06/20/2014
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