Organization
OAKLANDIDENCE OPCO, LLC
Active
Other names
Medical Hill Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MITCHELL (SECRETARY)
(385) 988-3319
Entity
Organization
Contact information
Practice address
475 29TH ST, OAKLAND, CA 94609-3510
(510) 832-3222
Mailing address
262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/18/2017
Last updated
08/20/2024
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