Organization
SALEM LUTHERAN HOME ASSOCIATION OF THE BAY CITIES
Active
Other names
Salem Lutheran Home
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE JANTZEN (CEO)
(510) 769-2700
Entity
Organization
Contact information
Practice address
2361 E 29TH ST, OAKLAND, CA 94606-3511
(510) 534-3637
(510) 537-0851
Mailing address
2361 E 29TH ST, OAKLAND, CA 94606-3511
(510) 534-3637
(510) 537-0851
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
020000442
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55570F
—
CA
Enumeration date
10/28/2005
Last updated
06/21/2018
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