Organization Name: | SOUTH COUNTY RETIREMENT HOME |
NPI Number: | 1306280839 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SAMUEL CALMA APOSTOL (LICENSEE) |
Mailing Address: | 460 Church Ave San Martin |
State: | CA US |
Postal Code: | 950469778 |
Phone Number: | 4086830229 |
Fax Number: | 4086830278 |
NPI Enumeration Date: | 04/26/2013 |
NPI Last Update Date: | 04/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 435294143 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |