Organization
ST THOMAS AQUINAS HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILOU VELASCO (ADMINISTRATOR/OWNER)
(805) 984-1565
Entity
Organization
Contact information
Practice address
765 E YUCCA ST, OXNARD, CA 93033-6535
(805) 488-0847
(805) 487-9757
Mailing address
1288 BAYSIDE CIR, OXNARD, CA 93035-2147
(805) 984-1565
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC61057F
—
CA
Enumeration date
03/16/2006
Last updated
08/22/2020
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