Organization
VENUS SENIOR LLC
Active
Other names
Venus Senior Adult Day Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MAYANK PATEL (MANAGING MEMBER)
(510) 648-8254
Entity
Organization
Contact information
Practice address
35145 NEWARK BLVD, NEWARK, CA 94560-1219
(510) 791-2492
(510) 494-1525
Mailing address
35145 NEWARK BLVD, NEWARK, CA 94560-1219
(510) 791-2492
(510) 494-1525
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12345
MANAGED CARE ORGANIZATIONS
CA
05
—
12345
—
CA
Enumeration date
02/10/2018
Last updated
02/10/2018
Update your record
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