# CASA CARMEN INC.

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

## Provider details

- **NPI number:** 1649617457
- **Authorized official:** MR. MORRIS ZYSKIND (PRESIDENT)
- **Authorized official phone:** (626) 858-9615

## Contact information

- **Practice address:** 333 W DAWSON AVE, GLENDORA, CA 91740-5018
- **Practice address phone:** (626) 335-8533
- **Mailing address:** PO BOX 2236, GLENDORA, CA 91740-2236
- **Mailing address phone:** (626) 858-9615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 197607265 | CA | Yes |

## Other

- **Enumeration date:** 06/03/2013
- **Last updated:** 06/03/2013