Organization
GHC OF SUNNYVALE, LLC
Active
Other names
Cedar Crest Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS MASTROCOLA (CHIEF FINANCIAL OFFICER)
(714) 241-5600
Entity
Organization
Contact information
Practice address
797 E FREMONT AVE, SUNNYVALE, CA 94087-2805
(408) 738-4880
(408) 738-1946
Mailing address
797 E FREMONT AVE, SUNNYVALE, CA 94087-2805
(408) 738-4880
(408) 738-1946
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
220000428
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55790F
—
CA
Enumeration date
06/13/2005
Last updated
08/05/2024
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