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Organization
KEIRO NURSING HOME
Active
Organization
KEIRO NURSING HOME
Active
Other names
SOUTH BAY KEIRO NURSING HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD HIYOSHIDA (ADMINISTRATOR)
(310) 532-0700
Entity
Organization
Contact information
Practice address
15115 S VERMONT AVE, GARDENA, CA 90247-4101
(310) 532-0700
(310) 532-0001
Mailing address
15115 S VERMONT AVE, GARDENA, CA 90247-4101
(310) 532-0700
(310) 532-0001
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
910000135
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZTO6210I
—
CA
Enumeration date
08/30/2006
Last updated
06/17/2010
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