| NPI | 1407973043 |
|---|---|
| Other Name | LIFELONG WILLIAM JENKINS HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | DAVID B. VLIET CEO 510-981-4123 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: CA 550000122) |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2021-01-19 |