Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareBLOOMFIELD 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:
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:
3333 E IMPERIAL HWY LYNWOOD, CA 90262 US
Tel: 310-638-6691 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | CA | 960000541 |
| Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | CA | 550001863 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| LTC90066F | CA | 05 | |
| 550001863 | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
