Organization
GARDENA RETIREMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY PRATT (ADMINISTRATOR)
(310) 327-4091
Entity
Organization
Contact information
Practice address
14741 S. VERMONT AVENUE, GARDENA, CA 90247-3001
(310) 327-4091
(310) 327-6176
Mailing address
14741 S VERMONT AVE, GARDENA, CA 90247-3001
(310) 327-4091
(310) 327-6176
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RCF00005F
—
CA
Enumeration date
06/27/2007
Last updated
08/22/2020
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