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General NPI Number Information
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NPI Number | 1417208109
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Entity Type | Organization
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Legal Business Name | SAN RAFAEL HEALTHCARE & WELLNESS CENTRE, LP
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Dates
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Enumeration Date | 09/21/2012
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 1601 5TH AVE
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City | SAN RAFAEL
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State | CA
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Zip | 94901-1808
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Country | US
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Telephone | 415-456-7170
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Fax |
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Provider Business Mailing Address
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Address Line | 505 N BRAND BLVD STE 1600
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City | GLENDALE
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State | CA
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Zip | 91203-3997
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Country | US
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Telephone | 323-330-6500
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Fax | 866-603-3566
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. SHLOMO RECHNITZ
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Credential |
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Telephone | 323-634-1940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 010000353
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License Number State | CA
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