Organization
NAZARETH VISTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE MAMMAD (ADMINISTRATOR)
(650) 591-7181
Entity
Organization
Contact information
Practice address
1041 HILL ST, BELMONT, CA 94002-2317
(650) 591-7181
(650) 591-1857
Mailing address
1041 HILL ST, BELMONT, CA 94002-2317
(650) 591-7181
(650) 591-1857
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
220000010
CA
Other
Enumeration date
04/15/2014
Last updated
04/08/2016
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