Healthcare Provider Details

I. General information

NPI: 1790261014
Provider Name (Legal Business Name): RMBB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2018
Last Update Date: 07/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3269 D ST
HAYWARD CA
94541-4585
US

IV. Provider business mailing address

3269 D ST
HAYWARD CA
94541-4585
US

V. Phone/Fax

Practice location:
  • Phone: 510-537-6700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: RICHARD MARTIN
Title or Position: MEMBER
Credential:
Phone: 510-537-6700