Organization
WASHINGTON TOWNSHIP HOSPITAL DEVELOPMENT CORPORATION
Active
Organization
WASHINGTON TOWNSHIP HOSPITAL DEVELOPMENT CORPORATION
Active
Other names
Washington Outpatient Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY FARBER (PRESIDENT AND CEO)
(510) 745-6500
Entity
Organization
Contact information
Practice address
39141 CIVIC CENTER DR, SUITE 120, FREMONT, CA 94538-5818
(510) 794-9672
(510) 792-8138
Mailing address
39141 CIVIC CENTER DR, SUITE 120, FREMONT, CA 94538-5818
(510) 794-9672
(510) 792-8138
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OT8813
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GCT000660
—
CA
01
—
ZZZ34510Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
11/11/2008
Last updated
08/24/2009
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