Organization
AGSE, LLC
Active
Other names
South Marin Health & Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BRADSHAW (MANAGER)
(949) 347-7100
Entity
Organization
Contact information
Practice address
1220 S ELISEO DR, GREENBRAE, CA 94904-2006
(415) 461-9700
Mailing address
28202 CABOT RD STE 412, LAGUNA NIGUEL, CA 92677-1271
(949) 347-7100
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10000354
CA
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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