Organization
TITO V DURAN AND JOSEFINA D DURAN
Active
Parent organization
TITO V DURAN AND JOSEFINA D DURAN
Other names
Daniels Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
TITO V DURAN AND JOSEFINA D DURAN
Authorized official
MRS. JOSEFINA DABU DURAN (OWNER)
(310) 803-7039
Entity
Organization
Contact information
Practice address
1117 W 164TH ST, GARDENA, CA 90247-4802
(310) 217-0437
(310) 217-0642
Mailing address
1117 W 164TH ST, GARDENA, CA 90247-4802
(310) 217-0437
(310) 217-0642
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
960000990
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LTC60786F
MEDICAL
CA
Enumeration date
05/24/2007
Last updated
06/19/2008
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