Degroot Nursing Home

NPI #1346386620 in San Luis Obispo, California

Provider Information

NPI Number
1346386620
Entity Type
Organization
Organization Name
Degroot Nursing Home
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Jan 30, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1015 BUCHON ST
ZIP Code
93401-4021
Phone
(805) 543-7663

Authorized Official

Name
MRS. ADRIAANTJE SJANY DE GROOT, RN
Title
ADMINISTRATOR
Phone
(805) 543-7663

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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