| St. Joseph Center Homeless Service | |
|
404 Lincoln Blvd Venice CA 90291-2829 | |
| (310) 399-6878 | |
| (310) 399-1339 |
| Full Name | St. Joseph Center Homeless Service |
|---|---|
| Speciality | Case Management |
| Location | 404 Lincoln Blvd, Venice, California |
| Authorized Official Name and Position | Nick Maiorino (ASSOCIATE DIRECTOR) |
| Authorized Official Contact | 3103966468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Joseph Center Homeless Service 404 Lincoln Blvd Venice CA 90291-2829 Ph: (310) 399-6878 | St. Joseph Center Homeless Service 404 Lincoln Blvd Venice CA 90291-2829 Ph: (310) 399-6878 |
| NPI Number | 1740424183 |
|---|---|
| Provider Enumeration Date | 04/29/2009 |
| Last Update Date | 12/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740424183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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