Organization
ST. THERESE CONVALESCENT HOSPITAL ,INC.
Active
Other names
DEVONSHIRE OAKS NURSING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANILO CARDENAS CABANAYAN R.N. (PRESIDENT)
(650) 366-0294
Entity
Organization
Contact information
Practice address
3635 JEFFERSON AVE, REDWOOD CITY, CA 94062-3148
(650) 366-0294
(650) 366-0295
Mailing address
3635 JEFFERSON AVE, REDWOOD CITY, CA 94062-3148
(650) 366-0294
(650) 366-0295
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55813F
—
CA
Enumeration date
10/13/2006
Last updated
07/21/2022
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