Organization
CHAPARRAL FOUNDATION
Active
Other names
Chaparral House
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KJ PAGE RN, NHA, ND (ADMINISTRATOR)
(510) 848-8774
Entity
Organization
Contact information
Practice address
1309 ALLSTON WAY, BERKELEY, CA 94702-1920
(510) 848-8774
(510) 848-2438
Mailing address
1309 ALLSTON WAY, BERKELEY, CA 94702-1920
(510) 848-8774
(510) 848-2438
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
020000156
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR18525F
—
CA
Enumeration date
09/14/2005
Last updated
08/11/2014
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