Organization
CALIFORNIA-NEVADA METHODIST HOMES
Active
Other names
Lake Park Retirement Residence
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT E HUBBARD (PRESIDENT AND CEO)
(510) 893-8989
Entity
Organization
Contact information
Practice address
1850 ALICE ST, OAKLAND, CA 94612-4175
(510) 835-5511
(510) 273-0529
Mailing address
201 19TH ST, SUITE 100, OAKLAND, CA 94612-4117
(510) 893-8989
(510) 893-3041
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
020000057
CA
Other
Enumeration date
02/14/2006
Last updated
04/24/2014
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