Organization
NAZARETH CLASSIC CARE COMMUNITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HANNA FARID HANHAN MS (CFO)
(650) 347-9500
Entity
Organization
Contact information
Practice address
800 ROBLE AVE, MENLO PARK, CA 94025-4908
(650) 322-4100
(650) 322-1508
Mailing address
800 SOUTH B STREET, SUITE 100, SAN MATEO, CA 94401-4272
(650) 347-9500
(650) 347-9400
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
415600741
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
415600741
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
CA
Enumeration date
12/17/2010
Last updated
12/17/2010
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