Whalio Doctors

NPI 1316085947

Jo Mi Icf Ddn Facilities

Organisation Nursing Facility/Intermediate Care Facility West Covina, CA

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 & Custodial Care Facilities Taxonomy 313M00000X
Nursing Facility/Intermediate Care Facility
Nursing & Custodial Care Facilities Taxonomy 313M00000X
Nursing Facility/Intermediate Care Facility
Nursing & Custodial Care Facilities Taxonomy 313M00000X

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.