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Organization
INGOMAR HOME
Active
Organization
INGOMAR HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SIMRETH GILL (BOARD MEMBER)
(626) 890-5860
Entity
Organization
Contact information
Practice address
19133 INGOMAR ST, RESEDA, CA 91335-1720
(818) 360-3317
(818) 357-2437
Mailing address
19133 INGOMAR ST, RESEDA, CA 91335-1720
(818) 360-3317
(818) 357-2437
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
09/03/2014
Last updated
11/05/2014
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