Healthcare Provider Details
I. General information
NPI: 1245287895
Provider Name (Legal Business Name): D & R RCH CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/28/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
21863 VALLEJO ST
HAYWARD CA
94541-2523
US
IV. Provider business mailing address
21863 VALLEJO ST
HAYWARD CA
94541-2523
US
V. Phone/Fax
- Phone: 510-538-3811
- Fax: 510-538-8076
- Phone: 510-538-3811
- Fax: 510-538-8076
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | CA |
VIII. Authorized Official
Name: MS.
RUTH
APOSTOL
ARCIAGA
Title or Position: PRESIDENT
Credential:
Phone: 510-538-3811