Organization
EPHESIAN WELLNESS CENTER, INC
Active
Other names
VILLA MARIA CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BELINDA JOHNSON (BOOKKEEPER)
(626) 579-0310
Entity
Organization
Contact information
Practice address
723 E 9TH ST., LONG BEACH, CA 90813
(562) 437-2797
(562) 437-8688
Mailing address
723 E 9TH ST, LONG BEACH, CA 90813-4611
(562) 437-2797
(562) 437-8688
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC05329F
—
CA
Enumeration date
10/26/2012
Last updated
10/26/2012
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