San Pedro Convalescent Home, Inc.
NPI #1306914775 in San Pedro, California
Provider Information
- NPI Number
- 1306914775
- Entity Type
- Organization
- Organization Name
- San Pedro Convalescent Home, Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 1, 2006
- Last Updated
- Mar 6, 2008
Practice Location
- Address
- 1430 W 6TH ST
- City
- San Pedro
- State
- California
- ZIP Code
- 90732-3503
- Phone
- (310) 832-6431
Authorized Official
- Name
- MRS. CELIA VALDOMAR, NHA
- Title
- ADMINISTRATOR
- Phone
- (310) 832-6431
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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