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BLOOMFIELD WEST INC

Intermediate Care Facility, Mentally Retarded

Lynwood, California

Provider NPI: 1487740452

Organization Information:
Organization Name:  BLOOMFIELD WEST INC


Practice Location:
3333 E IMPERIAL HWY  LYNWOOD, CA 90262 US
Tel: 310-638-6691  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
CA960000541
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
CA550001863

Other Provider Identifiers:

IssuerNumberStateType
LTC90066FCA05
550001863CA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS CA - Page 1



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