Organization
CF SAN RAFAEL, LLC
Active
Other names
Professional Post Acute Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB WINTNER (MANAGER)
(323) 651-1808
Entity
Organization
Contact information
Practice address
81 PROFESSIONAL CENTER PARKWAY, SAN RAFAEL, CA 94903
(415) 479-5161
(415) 491-0512
Mailing address
81 PROFESSIONAL CENTER PARKWAY, SAN RAFAEL, CA 94903
(415) 479-5161
(415) 491-0512
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
010000368
CA
314000000X
Skilled Nursing Facility
Primary
01000368
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR053331
—
CA
Enumeration date
01/17/2007
Last updated
07/21/2014
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