Organization
SOUTH COUNTY RETIREMENT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL CALMA APOSTOL (LICENSEE)
(408) 683-0229
Entity
Organization
Contact information
Practice address
460 CHURCH AVE, SAN MARTIN, CA 95046-9778
(408) 683-0229
(408) 683-0278
Mailing address
460 CHURCH AVE, SAN MARTIN, CA 95046-9778
(408) 683-0229
(408) 683-0278
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
435294143
CA
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
435294143
CA
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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