Organization
MH CLAREMONT OPERATING, LLC
Active
Other names
Claremont Place Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY JAMES VAUGHN (REIMBURSEMENT ANALYST)
(240) 595-6025
Entity
Organization
Contact information
Practice address
120 W SAN JOSE AVE, CLAREMONT, CA 91711-5294
(909) 447-5259
(909) 447-5939
Mailing address
120 W SAN JOSE AVE, CLAREMONT, CA 91711-5294
(909) 447-5259
(909) 447-5939
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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