# MONTE VISTA GROVE HOMES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548347354
- **Authorized official:** MS. KIM P. HOUSER (CONTROLLER)
- **Authorized official phone:** (626) 796-6135

## Contact information

- **Practice address:** 2889 SAN PASQUAL ST, PASADENA, CA 91107-5364
- **Practice address phone:** (626) 796-6135
- **Practice address fax:** (626) 796-9753
- **Mailing address:** 2889 SAN PASQUAL ST, PASADENA, CA 91107-5364
- **Mailing address phone:** (626) 796-6135
- **Mailing address fax:** (626) 796-9753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 970000086 | CA | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 09/17/2008