Organization
CLARA BALDWIN STOCKER HOME FOR WOMEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN E KOECKRITZ (ADMINISTRATOR)
(626) 962-7151
Entity
Organization
Contact information
Practice address
527 S VALINDA AVE, WEST COVINA, CA 91790-3008
(626) 962-7151
(626) 962-5007
Mailing address
527 S VALINDA AVE, WEST COVINA, CA 91790-3008
(626) 962-7151
(626) 962-5007
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Enumeration date
08/11/2006
Last updated
07/17/2007
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