Organization
COMMON DESTINY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN TOM (ADMINISTRATOR)
(415) 519-0306
Entity
Organization
Contact information
Practice address
34209 SYLVESTER DR, FREMONT, CA 94555-2227
(510) 794-4931
Mailing address
191 EVELYN WAY, SAN FRANCISCO, CA 94127-1730
(415) 519-0306
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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