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NPI Code Detail

MEDICARE: RICHMOND POST ACUTE CARE, LLC.

MEDICARE: RICHMOND POST ACUTE CARE, LLC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1140000141OTHERCACDPH LICENSE NUMBER

General Provider Information

NPI Number : 1821557620
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICHMOND POST ACUTE CARE, LLC.
Provider Business Mailing Address
First Line : 955 23RD ST
Second Line :
City : RICHMOND
State : CA
Zip : 94804-1250
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 955 23RD ST
Second Line :
City : RICHMOND
State : CA
Zip : 94804-1250
Country : US
Telephone Number : 510-237-5182
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : DARRELL PRICE
Credential :
Telephone Number : 916-212-0275
Provider Enumeration Date : 03/19/2019
Last Update Date : 08/10/2020

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Directions to “RICHMOND POST ACUTE CARE, LLC. ” Practice Location

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