- Enrollment id
- O20111031000615
- Enrollment state
- CA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1871881557
- Multiple npi flag
- N
- Ccn
- 555533
- Associate id
- 8729251129
- Organization name
- DRIFTWOOD HAYWARD OPERATING COMPANY, LP
- Doing business as name
- DRIFTWOOD HEALTHCARE CENTER-HAYWARD
- Organization type structure
- PARTNERSHIP
- Proprietary nonprofit
- P
- Nursing home provider name
- DRIFTWOOD HEALTHCARE CENTER - HAYWARD
- Affiliation entity name
- MARINER HEALTH CARE
- Affiliation entity id
- 334
- Address line 1
- 19700 HESPERIAN BLVD
- City
- HAYWARD
- State
- CA
- Zip code
- 945414704