Tara Manor Inc.
NPI #1336915016 in South San Francisco, California
Provider Information
- NPI Number
- 1336915016
- Entity Type
- Organization
- Organization Name
- Tara Manor Inc.
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Dec 4, 2023
- Last Updated
- Dec 4, 2023
Practice Location
- Address
- 2545 TARA LN
- State
- California
- ZIP Code
- 94080-5114
- Phone
- (650) 216-9960
Authorized Official
- Name
- DONNA MARIE VERIDIANO, MD
- Title
- PRESIDENT
- Phone
- (650) 216-9960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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