Organization
ST JOHN RETIREMENT VILLAGE
Active
Other names
Stollwood Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA BURTON (ADMINISTRATOR)
(530) 662-1290
Entity
Organization
Contact information
Practice address
135 WOODLAND AVE, WOODLAND, CA 95695-2701
(530) 662-1290
(530) 662-4639
Mailing address
135 WOODLAND AVE, WOODLAND, CA 95695-2701
(530) 662-1290
(530) 662-4639
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100000099
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206571047
—
CA
Enumeration date
04/25/2007
Last updated
02/08/2014
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