Organization
MANOR CARE OF SUNNYVALE CA LLC
Active
Other names
ProMedica Skilled Nursing and Rehabilitation (Sunnyvale)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
1150 TILTON DR, SUNNYVALE, CA 94087-2440
(408) 735-7200
(408) 736-8619
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-2615
(419) 252-5500
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
220000442
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679511331
—
CA
Enumeration date
06/03/2006
Last updated
02/11/2022
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