Healthcare Provider Details

I. General information

NPI: 1497819643
Provider Name (Legal Business Name): ALL SAINTS SUBACUTE & REHABILITATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 06/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1652 MONO AVE
SAN LEANDRO CA
94578-2020
US

IV. Provider business mailing address

1652 MONO AVE
SAN LEANDRO CA
94578-2020
US

V. Phone/Fax

Practice location:
  • Phone: 510-481-3200
  • Fax: 510-278-7912
Mailing address:
  • Phone: 510-481-3200
  • Fax: 510-278-7912

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. DOLLY BINDRA
Title or Position: ADMINISTRATOR
Credential:
Phone: 510-481-3200