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Organization
ST JOHN RETIREMENT VILLAGE
Active
Organization
ST JOHN RETIREMENT VILLAGE
Active
Other names
Stollwood Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA BURTON (ADMINISTRATOR)
(530) 662-1290
Entity
Organization
Contact information
Practice address
135 WOODLAND AVE, WOODLAND, CA 95695-2701
(530) 662-1290
(530) 662-4639
Mailing address
135 WOODLAND AVE, WOODLAND, CA 95695-2701
(530) 662-1290
(530) 662-4639
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100000099
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206571047
—
CA
Enumeration date
04/25/2007
Last updated
02/08/2014
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