Colonial Manor Conv Hospital

LBN: Wicoro Inc
Colonial Manor Conv Hospital is an health care organization with primary practice located at 919 N Sunset Ave , West Covina CA 91790-1244. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Wicoro Inc can be contacted via phone (626) 962-4489, or through Morales, Juan via phone (909) 373-3766.

Contact Information

Primary practice address
919 N Sunset Ave West Covina CA 91790-1244
Phone: (626) 962-4489
Fax: (626) 337-4044
Website:
Map and Directions
Authorized official contact:
Name: Morales, Juan
Phone: (909) 373-3766

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 950000025 California

Profile Details

NPI number 1669542205
LBN Legal business name Wicoro Inc
DBA Doing business as Colonial Manor Conv Hospital
Authorized official Morales, Juan
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2006
Last updated Jan 21st, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669542205 NPPES
California MEDICAID ZZT18368I

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