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Jo Mi Icf Ddn Facilities
Nursing Facility/Intermediate Care Facility in West Covina, California
NPI 1316085947

Jo Mi Icf Ddn Facilities is a Nursing Facility/Intermediate Care Facility based in Burbank, CA. Jo Mi Icf Ddn Facilities practices in West Covina, CA. The NPI Number for Jo Mi Icf Ddn Facilities is 1316085947 and holds a License No. (California).

The current practice location address for Jo Mi Icf Ddn Facilities is 2128 Shirlee St, West Covina, CA and can be reached out via phone at 626-854-0670.

Location: 2128 Shirlee St, West Covina, CA, 91501-1106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316085947
Provider Name
Jo Mi Icf Ddn Facilities
Credential
Provider Entity Type
Organization
Address
2128 Shirlee St, West Covina, CA, 91501-1106
Phone Number
626-854-0670
Fax Number
Provider Enumeration Date
02/04/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC80142F 01 CA LONG TERM CARE
LTC80382F 01 CA LONG TERM CARE
LTC80031F 01 CA LONG TERM CARE
institution
Provider Business Practice Location Address Details
Address
2128 Shirlee St
City
West Covina
State
California
Zip
91792-2431
Phone Number
626-854-0670
Fax Number
person
Provider Business Mailing Address Details
Address
2128 Shirlee St
City
West Covina
State
California
Zip
91792-2431
Phone Number
626-854-0670
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
(California)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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