ST. THERESE CONVALESCENT HOSPITAL ,INC.
Nursing Care, Pediatric
Redwood City, California
Provider NPI: 1659461408
Organization Information:Organization Name: ST. THERESE CONVALESCENT HOSPITAL ,INC.
Practice Location:
3635 JEFFERSON AVE REDWOOD CITY, CA 94062 US
Tel: 650-366-0294 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3635 JEFFERSON AVE REDWOOD CITY, CA 94062 US
Tel: 650-366-0294 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3140N1450X | Nursing & Custodial Care Facilities Skilled Nursing Facility Nursing Care, Pediatric | CA |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
LTC55813F | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin