Organization
LESMONI INCORPORATION
Active
Other names
Covington House ICF/DDN
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH CONMIGO ABESAMIS REGISTERED NURSE (CEO/ADMINISTRATOR)
(925) 325-5344
Entity
Organization
Contact information
Practice address
5241 CEDAR RIDGE WAY, ANTIOCH, CA 94531-8097
(925) 757-1379
(925) 978-2761
Mailing address
5241 CEDAR RIDGE WAY, ANTIOCH, CA 94531-8097
(925) 757-1379
(925) 978-2761
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
550001183
CA
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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