OrganizationActive
1125 Sir Francis Drake Boulevard Operating Company, LLC
NPI 1760424261 · Long Term Care Hospital · Kentfield, CA
Provider details
- NPI number
- 1760424261
- Entity type
- Organization
- Primary specialty
- Long Term Care HospitalHospitals
- Authorized official
- Tammy Thompson, Cfo/Vp
- License
- 110000358 (CA)
Practice location
1125 Sir Francis Drake Blvd
Kentfield, CA 94904-1418
Phone: (415) 456-9680
Fax: (415) 485-3696
Mailing address
700 17th St Ste 205
Modesto, CA 95354-1249
Registry dates
- Enumerated
- 2006-06-11
- Last updated
- 2023-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.