South County Retirement Home
NPI #1306280839 in San Martin, California
Provider Information
- NPI Number
- 1306280839
- Entity Type
- Organization
- Organization Name
- South County Retirement Home
- Primary Specialty
- Assisted Living Facility - Assisted Living, Mental Illness
- Enumeration Date
- Apr 26, 2013
- Last Updated
- Apr 26, 2013
Practice Location
- Address
- 460 CHURCH AVE
- City
- San Martin
- State
- California
- ZIP Code
- 95046-9778
- Phone
- (408) 683-0229
Authorized Official
- Name
- MR. SAMUEL CALMA APOSTOL
- Title
- LICENSEE
- Phone
- (408) 683-0229
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
| Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness |
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