Organization
HELEN ARBOGAST
Active
Other names
Park Merritt Nursing Home Park Merritt Intermediary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HELEN LOUISE ARBOGAST (OWNER ADMINISTRATOR)
(925) 451-6646
Entity
Organization
Contact information
Practice address
525 E 18TH ST, OAKLAND, CA 94606-2413
(510) 268-8491
(510) 268-3653
Mailing address
525 E 18TH ST, OAKLAND, CA 94606-2413
(510) 268-8491
(510) 268-3653
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
020000L98
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR18163H
—
CA
Enumeration date
02/23/2007
Last updated
07/29/2008
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