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FOOTHILL CARE CENTER II, LLC

Adult Care Home

West Covina, California

Provider NPI: 1679794309

Organization Information:
Organization Name:  FOOTHILL CARE CENTER II, LLC


Practice Location:
1304 W DURNESS ST  WEST COVINA, CA 91790 US
Tel: 626-960-7273  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
CA

Other Provider Identifiers:

IssuerNumberStateType
LTC60760FCA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS CA - Page 1



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