Organization
BOUGAINVILLEAS CARE LLC
Active
Other names
Bougainvilleas Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
LIWAYWAY PENA (ADMINISTRATOR)
(650) 580-5008
Entity
Organization
Contact information
Practice address
201 ALTA VISTA DR, SOUTH SAN FRANCISCO, CA 94080-5702
(650) 737-0832
(650) 737-0834
Mailing address
201 ALTA VISTA DR, SOUTH SAN FRANCISCO, CA 94080-5702
(650) 737-0832
(650) 737-0834
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
415600721
CA
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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