institution
1125 Sir Francis Drake Boulevard Operating Company, Llc
Long Term Care Hospital in Kentfield, California
NPI 1760424261

1125 Sir Francis Drake Boulevard Operating Company, Llc is a Long Term Care Hospital based in Modesto, CA. 1125 Sir Francis Drake Boulevard Operating Company, Llc practices in Kentfield, CA. The NPI Number for 1125 Sir Francis Drake Boulevard Operating Company, Llc is 1760424261 and holds a License No. 110000358 (California).

The current practice location address for 1125 Sir Francis Drake Boulevard Operating Company, Llc is 1125 Sir Francis Drake Blvd, Kentfield, CA and can be reached out via phone at 415-456-9680 and via fax at 415-485-3696.

Location: 1125 Sir Francis Drake Blvd, Kentfield, CA, 95354-1249
institution
Provider Profile Details
NPI Number
1760424261
Provider Name
1125 Sir Francis Drake Boulevard Operating Company, Llc
Credential
Provider Entity Type
Organization
Address
1125 Sir Francis Drake Blvd, Kentfield, CA, 95354-1249
Phone Number
415-456-9680
Fax Number
415-485-3696
Provider Enumeration Date
06/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05-2043 01 CA FREMONT HEALTH
05-2043 01 CA CORVEL
05-2043 01 CA HEALTH NET COMP 24
05-2043 01 CA CCN INDUSTRIAL MEDICINE
HSP40554I 05 CA
05-2043 01 CA CCN
05-2043 01 CA FIRST HEALTH
05-2043 01 CA BEECH STREET
05-2043 01 CA MARIN IPA
05-2043 01 CA AETNA
05-2043 01 CA BLUE SHIELD
05-2043 01 CA BLUE CROSS
05-2043 01 CA HEALTH NET
05-2043 01 CA INTERPLAN
HSC00554I 05 CA
05-2043 01 CA GENERAL REINSURANCE
05-2043 01 CA FOUNDATION HEALTH
ZZR005541 05 CA
05-2043 01 CA CAMP AMERICA
institution
Provider Business Practice Location Address Details
Address
1125 Sir Francis Drake Blvd
City
State
Zip
94904-1418
Phone Number
415-456-9680
Fax Number
415-485-3696
person
Provider Business Mailing Address Details
Address
1125 Sir Francis Drake Blvd
City
State
Zip
94904-1418
Phone Number
415-456-9680
Fax Number
415-485-3696
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Long Term Care Hospital
Speciality
-
Taxonomy
License No.
110000358 (California)
Definition
Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.
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