Organization
EVENTIDE HEALTHCARE LLC
Active
Other names
Eventide Healthcare, Renew Care Staff, Pacific Senior Advisors
Organization subpart
No
Provider details
NPI number
Authorized official
FORREST ALLEN (PRESIDENT)
(925) 289-9355
Entity
Organization
Contact information
Practice address
409 ROBERTA AVE, PLEASANT HILL, CA 94523-3805
(925) 289-9355
Mailing address
1945 CONTRA COSTA BLVD UNIT 2362, PLEASANT HILL, CA 94523-8003
(925) 289-9355
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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