Organization
DEL RIO SANITARIUM, INC
Active
Other names
Del Rio Gardens Care Center, Del Rio Sanitarium
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT VILLALUZ (ADMINISTRATOR)
(562) 927-6586
Entity
Organization
Contact information
Practice address
7004 E GAGE AVE, BELL GARDENS, CA 90201-2014
(562) 927-6586
(562) 928-5097
Mailing address
7004 E GAGE AVE, BELL GARDENS, CA 90201-2014
(562) 927-6586
(562) 928-5097
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
940000053
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206190235
OSHPD
CA
05
—
ZZT18080I
—
CA
Enumeration date
10/13/2005
Last updated
03/08/2016
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