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Organization
ARISE AND SHINE SENIOR CARE RESIDENCE
Active
Organization
ARISE AND SHINE SENIOR CARE RESIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN E THOMAS ADMINISTRATOR (RESIDENTIAL-ELDELRY ADMINISTRATOR)
(877) 702-4642
Entity
Organization
Contact information
Practice address
5757 WOODMAN AVE, VALLEY GLEN, CA 91401
(877) 702-4642
Mailing address
5757 WOODMAN AVE, VALLEY GLEN, CA 91401-4487
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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