Organization
SANTA TERESITA, INC.
Active
Other names
Santa Teresita Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SISTER MARGARET MARY (CONTROLLER)
(626) 289-1353
Entity
Organization
Contact information
Practice address
819 BUENA VISTA ST, DUARTE, CA 91010-1703
(626) 408-7802
(626) 408-7874
Mailing address
819 BUENA VISTA ST, DUARTE, CA 91010-1703
(626) 408-7802
(626) 408-7874
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
950000125
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTX05139F
—
CA
Enumeration date
09/19/2005
Last updated
10/27/2014
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