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NPI Code Detail

MEDICARE: D'NALOR CARE HOMES, LLC

MEDICARE: D'NALOR CARE HOMES, LLC
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
1310400000XAssisted Living Facility019200673CA

General Provider Information

NPI Number : 1871037838
Entity Type Code : Organization
Provider Name (Legal Business Name) : D'NALOR CARE HOMES, LLC
Provider Business Mailing Address
First Line : 2706 106TH AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94605-5210
Country : US
Telephone Number : 510-756-6122
Fax Number :
Provider Business Practice Location Address
First Line : 2706 106TH AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94605-5210
Country : US
Telephone Number : 510-756-6122
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. ROLAND WILSON
Credential :
Telephone Number : 510-334-5042
Provider Enumeration Date : 12/10/2016
Last Update Date : 12/10/2016

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Directions to “D'NALOR CARE HOMES, LLC ” Practice Location

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