Healthcare Provider Details

I. General information

NPI: 1538470828
Provider Name (Legal Business Name): SAN FRANCISCO HEALTHCARE & WELLNESS CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2010
Last Update Date: 07/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1477 GROVE ST
SAN FRANCISCO CA
94117-1421
US

IV. Provider business mailing address

1477 GROVE ST
SAN FRANCISCO CA
94117-1421
US

V. Phone/Fax

Practice location:
  • Phone: 415-563-0565
  • Fax: 208-238-0460
Mailing address:
  • Phone: 415-563-0565
  • Fax: 208-238-0460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number220000011
License Number StateCA

VIII. Authorized Official

Name: SOL MAJER
Title or Position: PRESIDENT
Credential:
Phone: 323-634-1940