Organization
GOLDEN GROVES RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA GROVES (RCFE ADMINISTRATOR)
(310) 803-3899
Entity
Organization
Contact information
Practice address
2841 GOLDEN AVE, LONG BEACH, CA 90806-1406
(562) 426-8989
(562) 306-1135
Mailing address
2841 GOLDEN AVE, LONG BEACH, CA 90806-1406
(562) 426-8989
(562) 306-1135
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198320174
CDSS FACILITY NUMBER
CA
Enumeration date
07/21/2022
Last updated
07/21/2022
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