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Organization
ST. THERESE CONVALESCENT HOSPITAL ,INC.
Active
Organization
ST. THERESE CONVALESCENT HOSPITAL ,INC.
Active
Other names
DEVONSHIRE OAKS NURSING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANILO CARDENAS CABANAYAN R.N. (PRESIDENT)
(650) 366-0294
Entity
Organization
Contact information
Practice address
3635 JEFFERSON AVE, REDWOOD CITY, CA 94062-3148
(650) 366-0294
(650) 366-0295
Mailing address
3635 JEFFERSON AVE, REDWOOD CITY, CA 94062-3148
(650) 366-0294
(650) 366-0295
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55813F
—
CA
Enumeration date
10/13/2006
Last updated
07/21/2022
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