Organization
1527 SPRINGS ROAD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MARTIN (MANAGER)
(707) 643-2793
Entity
Organization
Contact information
Practice address
1527 SPRINGS RD, VALLEJO, CA 94591-5448
(707) 643-2793
Mailing address
4747 VIEWRIDGE AVE STE 105, SAN DIEGO, CA 92123-1688
(619) 402-3044
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
10/25/2022
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