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Organization
FIVE ACRES
Active
Organization
FIVE ACRES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA AMADOR (TALENT ACQUISITION SPECIALIST)
(626) 375-4334
Entity
Organization
Contact information
Practice address
760 MOUNTAIN VIEW ST, ALTADENA, CA 91001-4996
(626) 798-6793
Mailing address
441 RIVERDALE DR APT 205, GLENDALE, CA 91204-1501
(818) 476-8132
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NULL
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
09/01/2021
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