NPI 1043599251

Broderick Skilled Nursing Facility

Organisation Physical Disabilities Residential Treatment Facility San Francisco, CA

Practice location

Address: 1421 Broderick St, San Francisco, CA 94115-3304
Phone: (415) 292-1760
Fax: (415) 292-1636

Authorised official

Name: Leticia Lucero de Silva
Title: L.V.N.
Phone: (650) 921-5633

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 258102 (CA)

Other Residential Treatment Facility, Physical Disabilities providers in California →

Registry record

NPI: 1043599251
Entity type: Organization
NPI issued: 5 Aug 2011
Record last updated: 8 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.