Organization
VETERANS HOME OF CALIFORNIA BARSTOW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES SULLIVAN (ADMINISTRATOR)
(760) 252-6250
Entity
Organization
Contact information
Practice address
100 VETERANS PKWY, BARSTOW, CA 92311-7003
(760) 252-6200
(760) 252-6333
Mailing address
100 VETERANS PKWY, BARSTOW, CA 92311-7003
(760) 252-6200
(760) 252-6333
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
170000835
CA
314000000X
Skilled Nursing Facility
Primary
170000835
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC90083F
—
CA
Enumeration date
09/12/2005
Last updated
07/18/2016
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