Provider Demographics
NPI:1609567064
Name:BLESSED SACRAMENT SISTERS OF CHARITY, INC.
Entity Type:Organization
Organization Name:BLESSED SACRAMENT SISTERS OF CHARITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRAOR
Authorized Official - Prefix:
Authorized Official - First Name:EUNMI
Authorized Official - Middle Name:
Authorized Official - Last Name:KONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-389-7760
Mailing Address - Street 1:248 S MARIPOSA AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90004-5408
Mailing Address - Country:US
Mailing Address - Phone:213-389-7760
Mailing Address - Fax:
Practice Address - Street 1:248 S MARIPOSA AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90004-5408
Practice Address - Country:US
Practice Address - Phone:213-389-7760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility