Organization
MILLBRAE SERRA SANITARIUM INC.
Active
Other names
Millbrae Serra Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
VINCE MUZZI (OWNER)
(650) 697-7000
Entity
Organization
Contact information
Practice address
150 SERRA AVE, MILLBRAE, CA 94030-2629
(650) 697-7000
Mailing address
150 SERRA AVE, MILLBRAE, CA 94030-2629
(650) 697-7000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR18147F
—
CA
Enumeration date
10/12/2005
Last updated
08/22/2020
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