PRIMARY RELIANCE INC.
Assisted Living, Mental Illness
La Puente, California
Provider NPI: 1821133018
Organization Information:Organization Name: PRIMARY RELIANCE INC.
Practice Location:
16212 BENWICK ST LA PUENTE, CA 91744 US
Tel: 626-917-2412 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:
16212 BENWICK ST LA PUENTE, CA 91744 US
Tel: 626-917-2412 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3104A0625X | Nursing & Custodial Care Facilities Assisted Living Facility Assisted Living, Mental Illness |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
ICF DDH - BENWICK | LTC60678F | CA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin