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Organization
COMMUNITY OF LA RECUPERATIVE CARE LLC
Active
Organization
COMMUNITY OF LA RECUPERATIVE CARE LLC
Active
Parent organization
COMMUNITY OF LA RECUPERATIVE CARE LLC
Other names
COLARC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY OF LA RECUPERATIVE CARE LLC
Authorized official
MR. CLYDE TAN GOMEZ MBA, BSBM (ADMINISTRATOR)
(818) 839-8911
Entity
Organization
Contact information
Practice address
13856 LOUVRE ST, PACOIMA, CA 91331-3539
(818) 839-8911
Mailing address
13856 LOUVRE ST, PACOIMA, CA 91331-3539
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
844572941
PRIVATE
CA
Enumeration date
09/09/2021
Last updated
10/08/2025
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