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Organization
DEL RIO SANITARIUM, INC
Active
Organization
DEL RIO SANITARIUM, INC
Active
Other names
Del Rio Convalescent Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT VILLALUZ (ADMINISTRATOR)
(562) 927-6586
Entity
Organization
Contact information
Practice address
7002 E GAGE AVE, BELL GARDENS, CA 90201-2014
(562) 927-6586
(562) 928-5097
Mailing address
7002 E GAGE AVE, BELL GARDENS, CA 90201-2014
(562) 927-6586
(562) 928-5097
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
940000052
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206190234
OSHPD
CA
05
—
ZZT18078H
—
CA
Enumeration date
10/12/2005
Last updated
03/08/2016
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