Healthcare Provider Details

I. General information

NPI: 1588974570
Provider Name (Legal Business Name): SAN FRANCISCO HEALTH CARE AND REHAB INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2010
Last Update Date: 02/18/2014
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: 415-867-3125
  • Fax:
Mailing address:
  • Phone: 415-867-3125
  • 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: MS. SVETLANA STUKOV
Title or Position: CEO
Credential:
Phone: 415-867-3125