Organization
WDW JOINT VENTURE
Active
Other names
Downey Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD COBERLY (ADMINISTRATOR)
(562) 862-6506
Entity
Organization
Contact information
Practice address
8425 IOWA ST, DOWNEY, CA 90241-4929
(562) 862-6506
Mailing address
PO BOX 340, 8425 IOWA STREET, DOWNEY, CA 90241-0340
(562) 862-6506
(562) 869-1346
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
940000223
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55128F
—
CA
Enumeration date
05/31/2005
Last updated
12/10/2013
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