Healthcare Provider Details

I. General information

NPI: 1467446278
Provider Name (Legal Business Name): KAYAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

442 SUNSET BLVD
HAYWARD CA
94541-3832
US

IV. Provider business mailing address

442 SUNSET BLVD
HAYWARD CA
94541-3832
US

V. Phone/Fax

Practice location:
  • Phone: 510-582-8311
  • Fax: 510-582-8334
Mailing address:
  • Phone: 510-582-8311
  • Fax: 510-582-8334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number477-5771-1
License Number StateCA

VIII. Authorized Official

Name: MRS. PREMA THEKKEK
Title or Position: VICE-PRESIDENT
Credential:
Phone: 707-449-3400