Organization
GOLDEN MANOR RETIREMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK INGBER (MANAGING MEMBER)
(213) 247-6845
Entity
Organization
Contact information
Practice address
1109 W BEVERLY BLVD, MONTEBELLO, CA 90640-4140
(213) 247-6845
Mailing address
1109 W BEVERLY BLVD, MONTEBELLO, CA 90640-4140
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
197606171
CA
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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