GHC OF SUNNYVALE, LLC
Skilled Nursing Facility
Sunnyvale, California
Provider NPI: 1982608303
Organization Information:Organization Name: GHC OF SUNNYVALE, LLC
Practice Location:
797 E FREMONT AVE SUNNYVALE, CA 94087 US
Tel: 408-738-4880 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
797 E FREMONT AVE SUNNYVALE, CA 94087 US
Tel: 408-738-4880 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | CA | 220000428 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
LTC55790F | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin