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Degroot Nursing Home
Intellectual Disabilities Intermediate Care Facility in San Luis Obispo, California
NPI 1346386620

Degroot Nursing Home is a Intellectual Disabilities Intermediate Care Facility based in San Luis Obispo, CA. Degroot Nursing Home practices in San Luis Obispo, CA. The NPI Number for Degroot Nursing Home is 1346386620 and holds a License No. (California).

The current practice location address for Degroot Nursing Home is 1015 Buchon St, San Luis Obispo, CA and can be reached out via phone at 805-543-7663 and via fax at 805-544-7967.

Location: 1015 Buchon St, San Luis Obispo, CA, 93401-4021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346386620
Provider Name
Degroot Nursing Home
Credential
Provider Entity Type
Organization
Address
1015 Buchon St, San Luis Obispo, CA, 93401-4021
Phone Number
805-543-7663
Fax Number
805-544-7967
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC80007F 01 CA MEDI-CAL ID NUMBER
institution
Provider Business Practice Location Address Details
Address
1015 Buchon St
City
San Luis Obispo
State
California
Zip
93401-4021
Phone Number
805-543-7663
Fax Number
805-544-7967
person
Provider Business Mailing Address Details
Address
1015 Buchon St
City
San Luis Obispo
State
California
Zip
93401-4021
Phone Number
805-543-7663
Fax Number
805-544-7967
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
(California)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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