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PRIMARY RELIANCE INC

Assisted Living, Mental Illness

San Dimas, California

Provider NPI: 1205950714

Organization Information:
Organization Name:  PRIMARY RELIANCE INC


Practice Location:
1342 PASEO ENCINAS  SAN DIMAS, CA 91773 US
Tel: 909-599-4396  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3104A0625XNursing & Custodial Care Facilities
Assisted Living Facility
Assisted Living, Mental Illness

Other Provider Identifiers:

IssuerNumberStateType
ENCINAS PROVIDER NO.LTC60598FCA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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