FL
FRUITVALE LONG TERM CARE LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
OAKLAND, CA
Licensed since
2013
Rate
—
Federal identifiers
NPI registry number1508295478
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameKAM MCGAVOCK
TitlePRESIDENT
Phone5102615613
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Source: NPI Registry · Last refreshed June 24, 2026