Organization
SAN LUIS OBISPO HEALTH FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE ANN MCMANUS R.N. (STAFF NURSE)
(805) 781-5959
Entity
Organization
Contact information
Practice address
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
(805) 781-5959
Mailing address
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
(805) 781-5959
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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