Organization
NAZARETH PARK PLACE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HANNA FARID HANHAN MS (CFO)
(650) 347-9500
Entity
Organization
Contact information
Practice address
800 S B ST, SUITE 100, SAN MATEO, CA 94401-4271
(650) 347-9500
(650) 347-9400
Mailing address
1922 MORSE AVE, SACRAMENTO, CA 95825-2136
(916) 482-7745
(916) 482-7749
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
347004465
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
347004465
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
CA
Enumeration date
05/26/2010
Last updated
11/17/2010
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