FOOTHILL CARE CENTER II, LLC
Adult Care Home
Covina, California
Provider NPI: 1962624288
Organization Information:Organization Name: FOOTHILL CARE CENTER II, LLC
Practice Location:
5420 N OAKBANK AVE COVINA, CA 91722 US
Tel: 626-332-8542 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
5420 N OAKBANK AVE COVINA, CA 91722 US
Tel: 626-332-8542 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | CA |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
LTC60619G | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin