Organization
MCARLSON, INC.
Active
Other names
South Shore Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
ZENAIDA CABATO ROSETE R.N. (DIRECT OWNER)
(510) 523-3772
Entity
Organization
Contact information
Practice address
625 WILLOW ST, ALAMEDA, CA 94501-5711
(510) 523-3772
(510) 523-9629
Mailing address
625 WILLOW ST, ALAMEDA, CA 94501-5711
(510) 523-3772
(510) 523-9629
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0200001
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200001
STATE DEPT. LICENSE
CA
01
—
341-08035
CA ID
CA
05
—
LTC55359F
—
CA
Enumeration date
02/05/2007
Last updated
08/22/2020
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