OrganizationActive
Fair Oaks Residential Treatment Facility, LLC
NPI 1114679305 · Nursing Care Agency · Hayward, CA
Provider details
- NPI number
- 1114679305
- Entity type
- Organization
- Primary specialty
- Nursing Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Alex Rudakov, Secretary(415) 812-2955
Specialties & taxonomies
Agencies
Practice location
1782 B St
Hayward, CA 94541-3102
Phone: (916) 458-4100
Approximate (ZIP-level) locationGet directions
Mailing address
2880 Zanker Rd Ste 106
San Jose, CA 95134-2121
Registry dates
- Enumerated
- 2022-01-19
- Last updated
- 2022-01-19
- Certified
- 2022-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.