Organization
BAYWOOD COURT SKILLED NURSING FACILITY
Active
Parent organization
EDEN MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDEN MEDICAL CENTER
Authorized official
MR. GEORGE DERBEDROSIAN (REGIONAL DIRECTOR - PFS)
(510) 869-6163
Entity
Organization
Contact information
Practice address
20103 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-5341
(510) 727-8290
(510) 582-1730
Mailing address
3012 SUMMIT ST, OAKLAND, CA 94609-3480
(510) 869-6591
(510) 869-6592
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
140000030
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55454G
—
CA
Enumeration date
05/24/2006
Last updated
09/13/2010
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