Organization
ST MICHAEL CONVALESCENT HOSPITAL INC
Active
Parent organization
SR ADMINISTRATIVE SERVICES, INC.
Other names
Vintage Estates of Hayward
Organization subpart
Yes
Provider details
NPI number
Legal business name
SR ADMINISTRATIVE SERVICES, INC.
Authorized official
MRS. SALLY JANE RAPP (DIRECTOR)
(510) 782-3825
Entity
Organization
Contact information
Practice address
25919 GADING RD, HAYWARD, CA 94544-2725
(510) 782-3825
(510) 782-8793
Mailing address
25919 GADING RD, HAYWARD, CA 94544-2725
(510) 782-3825
(510) 782-8793
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
760077117
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05359G
—
CA
Enumeration date
10/18/2005
Last updated
01/13/2010
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