Organization
5TH STREET 1808 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELSA NGUYEN (LICENSEE)
(650) 776-2280
Entity
Organization
Contact information
Practice address
1808 5TH ST, SANGER, CA 93657-2313
(650) 776-2280
Mailing address
1808 5TH ST, SANGER, CA 93657-2313
(650) 776-2280
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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