Organization
PENINSULA CONVALESCENT ASSOCIATES LLC
Active
Other names
CARLMONT GARDENS NURSING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA ANN VIEIRA (CONTROLLER)
(650) 591-9601
Entity
Organization
Contact information
Practice address
2140 CARLMONT DR, BELMONT, CA 94002-3417
(650) 591-9601
(650) 591-2446
Mailing address
2140 CARLMONT DR, BELMONT, CA 94002-3417
(650) 591-9601
(650) 591-2446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
220000004
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55657G
—
CA
Enumeration date
10/10/2006
Last updated
12/06/2012
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