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UNITED CARE PROVIDERS-HOLY INFANT

Intermediate Care Facility, Mentally Retarded

Baldwin Park, California

Provider NPI: 1417928458

Organization Information:
Organization Name:  UNITED CARE PROVIDERS-HOLY INFANT


Practice Location:
4710 KENMORE AVE  BALDWIN PARK, CA 91706 US
Tel: 626-962-8568  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
CA96000054

Other Provider Identifiers:

IssuerNumberStateType
LTC80016FCA05
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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