NPI 1316085947
Jo Mi Icf Ddn Facilities
Practice location
- Address
- 2128 Shirlee St, West Covina, CA 91792-2431
- Phone
- (626) 854-0670
- Mailing address
- 1849 Ayers Way, Burbank, CA 91501-1106
Authorised official
- Name
- Roger V. Cuevas
- Title
- Business Manager
- Phone
- (818) 841-1044
Registered specialties (3)
Nursing Facility/Intermediate Care Facility
Primary
Nursing Facility/Intermediate Care Facility
Nursing Facility/Intermediate Care Facility
Registry record
- NPI
- 1316085947
- Entity type
- Organization
- NPI issued
- 4 Feb 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.