Organization
PRINCETON MANOR HEALTHCARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SILVER (MANAGING MEMBER)
(310) 896-7471
Entity
Organization
Contact information
Practice address
2124 57TH AVE, OAKLAND, CA 94621-4322
(510) 261-2628
Mailing address
2124 57TH AVE, OAKLAND, CA 94621-4322
(510) 261-2628
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05876I
—
CA
Enumeration date
06/24/2016
Last updated
10/19/2022
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