Organization
PREMIERCARE 2 CONGREGATE LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN V NGUYEN RN (PRES/ADMINISTRATOR/DPCS)
(805) 210-2194
Entity
Organization
Contact information
Practice address
9349 ROSE ST, BELLFLOWER, CA 90706-6423
(818) 642-3668
Mailing address
4805 LEEDS ST, SIMI VALLEY, CA 93063-3051
(805) 210-2194
(805) 210-2258
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
10/22/2015
Last updated
02/22/2021
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