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NPI Code Detail

MEDICARE: SAN FRANCISCO LADIES PROTECTION AND RELIEF SOCIETY

MEDICARE: SAN FRANCISCO LADIES PROTECTION AND RELIEF SOCIETY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility220000034CA

General Provider Information

NPI Number : 1396964722
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAN FRANCISCO LADIES PROTECTION AND RELIEF SOCIETY
Provider Business Mailing Address
First Line : 3400 LAGUNA ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94123-2271
Country : US
Telephone Number : 415-202-0300
Fax Number : 415-292-7080
Provider Business Practice Location Address
First Line : 3400 LAGUNA ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94123-2271
Country : US
Telephone Number : 415-202-0300
Fax Number : 415-292-7080
Authorized Official
Title or Position : CEO
Name : MR. KEN D DONNELLY
Credential :
Telephone Number : 415-202-0343
Provider Enumeration Date : 04/24/2007
Last Update Date : 04/07/2016

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Directions to “SAN FRANCISCO LADIES PROTECTION AND RELIEF SOCIETY ” Practice Location

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