Provider Demographics
NPI:1639594625
Name:WELLS HOUSE OF CALIFORNIA, INC.
Entity Type:Organization
Organization Name:WELLS HOUSE OF CALIFORNIA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRA
Authorized Official - Prefix:
Authorized Official - First Name:JOSIE
Authorized Official - Middle Name:AUSTRIA
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:562-491-1958
Mailing Address - Street 1:245 CHERRY AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-3901
Mailing Address - Country:US
Mailing Address - Phone:562-491-1958
Mailing Address - Fax:562-491-1937
Practice Address - Street 1:245 CHERRY AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-3901
Practice Address - Country:US
Practice Address - Phone:562-491-1958
Practice Address - Fax:562-491-1937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-27
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility