Organization
PETAR GUEST HOMES, INC.
Active
Parent organization
PETAR GUEST HOMES, INC.
Other names
Diablo Senior Homes
Organization subpart
Yes
Provider details
NPI number
Legal business name
PETAR GUEST HOMES, INC.
Authorized official
GHOLAM REZA KEYHANTAJ (PRESIDENT)
(925) 360-2936
Entity
Organization
Contact information
Practice address
33 PETAR CT, CLAYTON, CA 94517-1712
(925) 672-2841
Mailing address
33 PETAR CT, CLAYTON, CA 94517-1712
(925) 672-2841
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
071441200
CA
Other
Enumeration date
08/31/2014
Last updated
08/31/2014
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