Organization
KEIRO NURSING HOME
Active
Other names
SOUTH BAY KEIRO NURSING HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD HIYOSHIDA (ADMINISTRATOR)
(310) 532-0700
Entity
Organization
Contact information
Practice address
15115 S VERMONT AVE, GARDENA, CA 90247-4101
(310) 532-0700
(310) 532-0001
Mailing address
15115 S VERMONT AVE, GARDENA, CA 90247-4101
(310) 532-0700
(310) 532-0001
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
910000135
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZTO6210I
—
CA
Enumeration date
08/30/2006
Last updated
06/17/2010
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