Organization
LITTLE SISTERS OF THE POOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SISTER MARGUERITE MCCARTHY III (ADMINISTRATOR)
(310) 548-0625
Entity
Organization
Contact information
Practice address
2100 S WESTERN AVE, SAN PEDRO, CA 90732-4331
(310) 548-0625
(310) 831-6751
Mailing address
2100 S WESTERN AVE, SAN PEDRO, CA 90732-4331
(310) 548-0625
(310) 831-6751
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC90013F
—
CA
Enumeration date
11/01/2006
Last updated
08/22/2020
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