Glenridge Center

NPI 1477688810 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1477688810
Enumeration Date 02/23/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DEENA DEENA
Position PRIVACY OFFICER
Phone (714) 537-3252
Fax
Practice Location
611 S CENTRAL AVE
GLENDALE CA, 91204-2008, US
Phone (714) 537-3252
Fax
Business Location
10140 LINN STATION RD
LOUISVILLE KY, 40223-3813, US
Phone (800) 866-0860
Fax
Toxanomy
Taxonomy Code 315P00000X
License State
License Number
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According to our database, Glenridge Center NPI is 1477688810, taxonomy code is 315P00000X Glenridge Center physically located at 611 S Central Ave, Glendale CA, 91204-2008. NPI Number 1033115704 has the healthcare provider type.

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1477688810 NPI number is provided on an as is basis without warranty of any kind. 1477688810 is maintained by the National Plan & Provider Enumeration System. The contents of Glenridge Center are for informational purposes only.