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Organization

SHIELDS NURSING CENTERS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM M SHIELDS JR. ADMINISTRATOR (CEO PRESIDENT)
(510) 724-9911
Entity
Organization

Contact information

Practice address
1919 CUTTING BLVD, RICHMOND, CA 94804-2662
(510) 233-8513
(510) 233-8960
Mailing address
606 ALFRED NOBEL DR, HERCULES, CA 94547-1834
(510) 924-9911
(510) 724-9922

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
140000139
CA
314000000X
Skilled Nursing Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0651620002
DMERC
CA
05
ZZR05292J
CA
Enumeration date
09/26/2005
Last updated
09/23/2022
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