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NPI Code Detail

MEDICARE: EWCH, INC.

MEDICARE: EWCH, INC.
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 FacilityCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730293820
Entity Type Code : Organization
Provider Name (Legal Business Name) : EWCH, INC.
Provider Business Mailing Address
First Line : 1805 WEST ST
Second Line :
City : HAYWARD
State : CA
Zip : 94545-1932
Country : US
Telephone Number : 510-783-4811
Fax Number : 510-783-4062
Provider Business Practice Location Address
First Line : 1805 WEST ST
Second Line :
City : HAYWARD
State : CA
Zip : 94545-1932
Country : US
Telephone Number : 510-783-4811
Fax Number : 510-783-4062
Authorized Official
Title or Position : PRESIDENT
Name : MR. JACK EDWARD EASTERDAY
Credential :
Telephone Number : 510-995-5300
Provider Enumeration Date : 08/18/2006
Last Update Date : 08/22/2020

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Directions to “EWCH, INC. ” Practice Location

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