Organization
BANCROFT CONVALESCENT HOSPITAL, INC.
Active
Other names
Bancroft Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOYD H MACDONALD (PRESIDENT)
(510) 483-1680
Entity
Organization
Contact information
Practice address
1475 BANCROFT AVE, SAN LEANDRO, CA 94577-5105
(510) 483-1680
(510) 483-1683
Mailing address
1475 BANCROFT AVE, SAN LEANDRO, CA 94577-5105
(510) 483-1680
(510) 483-1683
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC05107F
—
CA
Enumeration date
02/20/2007
Last updated
08/22/2020
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