Alpine Lake Holdings LLC
NPI #1801615133 in Campbell, California
Provider Information
- NPI Number
- 1801615133
- Entity Type
- Organization
- Organization Name
- Alpine Lake Holdings LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 3, 2024
- Last Updated
- Oct 3, 2024
Practice Location
- Address
- 238 VIRGINIA AVE
- City
- Campbell
- State
- California
- ZIP Code
- 95008-3908
- Phone
- (408) 379-8114
Authorized Official
- Name
- MR. TOBY TILFORD
- Title
- CO-CEO
- Phone
- (858) 774-8342
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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