Fern Lodge, Inc.
NPI #1114115417 in Castro Valley, California
Provider Information
- NPI Number
- 1114115417
- Entity Type
- Organization
- Organization Name
- Fern Lodge, Inc.
- Primary Specialty
- Religious Nonmedical Health Care Institution
- Enumeration Date
- Oct 11, 2007
- Last Updated
- Jan 16, 2008
Practice Location
- Address
- 18457 MADISON AVE
- City
- Castro Valley
- State
- California
- ZIP Code
- 94546-1637
- Phone
- (510) 886-2448
Authorized Official
- Name
- MR. GEORGE STRONG
- Title
- ADMINISTRATOR
- Phone
- (510) 886-2448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Religious Nonmedical Health Care Institution |
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