Organization
ST ANTHONY SERENETHOS SNF,LLC
Active
Other names
St Anthony Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
QING XIE (CEO)
(151) 073-3387
Entity
Organization
Contact information
Practice address
553 SMALLEY AVE, HAYWARD, CA 94541-4919
(510) 733-3877
(510) 446-8631
Mailing address
553 SMALLEY AVE, HAYWARD, CA 94541-4919
(510) 733-3877
(510) 446-8631
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346239928
NPI
—
05
—
1689063489
—
CA
05
—
ZZR05809I
—
CA
Enumeration date
01/15/2015
Last updated
02/17/2022
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