Basic Information
| Provider Information | |||||||||
| NPI: | 1538685946 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | GHC OF SAN FRAN 68, LLC | ||||||||
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| OtherOrganizationName: | LAWTON NURSING & REHABILITATION | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6 HUTTON CENTRE DR STE 400 | ||||||||
| Address2: | |||||||||
| City: | SANTA ANA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 927078762 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7142415600 | ||||||||
| FaxNumber: | 3602878764 | ||||||||
| Practice Location | |||||||||
| Address1: | 1575 7TH AVE | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941223704 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4155661200 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/17/2017 | ||||||||
| LastUpdateDate: | 08/03/2022 | ||||||||
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| AuthorizedOfficialLastName: | WELLBORN | ||||||||
| AuthorizedOfficialFirstName: | ROBYNE | ||||||||
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| AuthorizedOfficialTitleorPosition: | IS AND AR TRAINING MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 7603150984 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 08/03/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.