Organization
ELIM SENIOR SERVICES LLC
Active
Other names
Elim Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ECATERINA TET LVN (LLC MEMBER)
(925) 768-3031
Entity
Organization
Contact information
Practice address
18787 CARLTON AVE, CASTRO VALLEY, CA 94546-2905
(510) 885-0557
Mailing address
18787 CARLTON AVE, CASTRO VALLEY, CA 94546-2905
(888) 818-8101
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
015601014
CA
311Z00000X
Custodial Care Facility
075600223
CA
311Z00000X
Custodial Care Facility
075601505
CA
Other
Enumeration date
06/21/2013
Last updated
06/26/2013
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