Organization
ATHERTON BAPTIST HOMES
Active
Other names
Sam B West Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD LLOYD SMITH NHA 3423 (ADMINISTRATOR)
(626) 289-4178
Entity
Organization
Contact information
Practice address
214 S ATLANTIC BLVD, ALHAMBRA, CA 91801-3298
(626) 289-4178
(626) 576-0857
Mailing address
214 S ATLANTIC BLVD, ALHAMBRA, CA 91801-3298
(626) 289-4178
(626) 576-0857
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZT18524F
—
CA
Enumeration date
11/11/2005
Last updated
08/22/2020
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