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CLINTON VILLAGE CONVALESCENT HOSPITAL

Long Term Care Hospital

Oakland, California

Provider NPI: 1558545384

Organization Information:
Organization Name:  CLINTON VILLAGE CONVALESCENT HOSPITAL


Practice Location:
1833 10TH AVE  OAKLAND, CA 94606 US
Tel: 510-536-6510  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y282E00000XHospitals
Long Term Care Hospital
CALTC90086F

Other Provider Identifiers:

IssuerNumberStateType
LTC90086FCA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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