Organization · Type 2 NPI

Fruitvale Long Term Care LLC

Skilled Nursing Facility · Oakland, CA

NPI number 1508295478 Active

Practice location

3020 E 15th St
Oakland, CA 94601-2305

Call (510) 261-5613 Map

Mailing address

920 Ridgebrook Rd
Sparks, MD 21152-9390

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1508295478

Fruitvale Long Term Care LLC's National Provider Identifier is 1508295478, issued on Nov 1, 2013. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Oakland, CA. The record was last updated on Nov 1, 2013.