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Organization
UNITED CARE HOMES - PURE JOY #2
Active
Organization
UNITED CARE HOMES - PURE JOY #2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSANA CRUZ TUBIANOSA R.N. (LICENSEE)
(626) 810-5567
Entity
Organization
Contact information
Practice address
14944 LINDHALL WAY, WHITTIER, CA 90604-1553
(562) 946-4784
(626) 810-4910
Mailing address
1982 CAMWOOD AVE, ROWLAND HEIGHTS, CA 91748-4044
(626) 810-5567
(626) 810-4910
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
960000580
CA
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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