Organization
LAKE MERRITT SENIOR LIVING LLC
Active
Other names
Lake Park Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK ISRANI (GENERAL MANAGER)
(619) 296-9000
Entity
Organization
Contact information
Practice address
1850 ALICE ST, OAKLAND, CA 94612-4175
(510) 835-5511
Mailing address
1850 ALICE ST, OAKLAND, CA 94612-4175
(510) 835-5511
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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