Organization · NPI-2

121st Csh

Nursing Facility/Intermediate Care Facility · Apo, AP

NPI number1962735811

StatusActive

Last updated in NPPESSep 10, 2009

Details

NPI: 1962735811
Entity type: Organization (NPI-2)
Legal business name: 121st Csh
Organization subpart: No
Enumeration date: Sep 10, 2009
Last updated: Sep 10, 2009

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
313M00000X	Nursing Facility/Intermediate Care Facility	343843	CA	Yes

Practice location

121st Csh
Apo, AP 96205-0054

Phone 315-737-5777

Mailing address

121st Csh
Apo, AP 96205-0054

Authorized official

Pj Zamora
Head Nurse
3157375777

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