| NPI | 1609867746 |
|---|---|
| Other Name | SALEM LUTHERAN HOME |
| Entity Type | Organization |
| Authorized Contact | JESSE JANTZEN CEO 510-769-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 020000442) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2018-06-21 |