Organization
ST. JOHN'S RETIREMENT VILLAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY THERESE BROWN MSG (CEO)
(530) 662-1290
Entity
Organization
Contact information
Practice address
135 WOODLAND AVE, WOODLAND, CA 95695-2701
(530) 662-1290
(530) 662-0852
Mailing address
135 WOODLAND AVE, WOODLAND, CA 95695-2701
(530) 662-1290
(530) 662-0852
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
5703000654
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056138
PTN
—
05
—
1891914784
—
CA
Enumeration date
02/10/2016
Last updated
02/10/2016
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