Organization
ST JOSPEHS HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBRAHEEM H HAMED (OWNER)
(786) 564-3771
Entity
Organization
Contact information
Practice address
2496 1/2 N MACY ST, SAN BERNARDINO, CA 92407-6597
(786) 564-3771
(909) 408-8027
Mailing address
2496 1/2 N MACY ST, SAN BERNARDINO, CA 92407-6597
(786) 564-3771
(909) 408-8027
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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