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Organization

ST. JOHN OF GOD RETIREMENT AND CARE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PATRICK OKEKE (CEO)
(323) 731-0641
Entity
Organization

Contact information

Practice address
2468 S ST ANDREWS PL, LOS ANGELES, CA 90018-2042
(323) 731-0641
(323) 737-1452
Mailing address
2468 S ST ANDREWS PL, LOS ANGELES, CA 90018-2042
(323) 731-0641
(323) 737-1452

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
970000022
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZT05253F
CA
Enumeration date
10/20/2005
Last updated
04/17/2009
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