Organization
SP FACILITY INC
Active
Other names
BROOKVUE CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JACK EASTERDAY (PRESIDENT)
(510) 899-7999
Entity
Organization
Contact information
Practice address
13328 SAN PABLO AVE, SAN PABLO, CA 94806-3902
(510) 235-3720
Mailing address
13328 SAN PABLO AVE, SAN PABLO, CA 94806-3902
(510) 235-3720
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR06359I
—
CA
Enumeration date
02/05/2007
Last updated
03/04/2008
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