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Organization
ROBILYN GUEST HOME, INC.
Active
Organization
ROBILYN GUEST HOME, INC.
Active
Other names
DBA Robilyn Guest Home IV
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERLINDA REYNOLDS (PRESIDENT)
(562) 818-4179
Entity
Organization
Contact information
Practice address
555 W SAN JOSE AVE, CLAREMONT, CA 91711
(909) 621-0810
(909) 625-4747
Mailing address
PO BOX 1929, LA MIRADA, CA 90637-1929
(909) 621-0810
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
960000523
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC60141I
—
CA
Enumeration date
08/31/2006
Last updated
02/17/2010
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