St John Kronstadt Home for Aged Russian Americans
NPI #1861484982 in Castro Valley, California
Provider Information
- NPI Number
- 1861484982
- Entity Type
- Organization
- Organization Name
- St John Kronstadt Home for Aged Russian Americans
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 16, 2005
- Last Updated
- Jun 23, 2011
Practice Location
- Address
- 4432 JAMES AVE
- City
- Castro Valley
- State
- California
- ZIP Code
- 94546-3533
- Phone
- (510) 889-7000
Authorized Official
- Name
- JEREMY E GRIMES
- Title
- MANAGER
- Phone
- (925) 855-0881
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Durable Medical Equipment & Medical Supplies - Nursing Facility Supplies — Nursing Facility Supplies |
| Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition |
| Skilled Nursing Facility |
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