NPI 1114115417

Fern Lodge, INC.

Organisation Religious Nonmedical Health Care Institution Castro Valley, CA

Practice location

Address: 18457 Madison Ave, Castro Valley, CA 94546-1637
Phone: (510) 886-2448
Fax: (510) 886-5992

Authorised official

Name: George Strong
Title: Administrator
Phone: (510) 886-2448

Registered specialties

Religious Nonmedical Health Care Institution Primary

Hospitals Taxonomy 282J00000X

Other Religious Nonmedical Health Care Institution providers in California →

Registry record

NPI: 1114115417
Entity type: Organization
NPI issued: 11 Oct 2007
Record last updated: 16 Jan 2008

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.