Organization
WD GATE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAYE GRIFFIN R.N. (ADMINISTRATOR)
(323) 295-6744
Entity
Organization
Contact information
Practice address
5602 VALLEY GLEN WAY, LOS ANGELES, CA 90043-2122
(323) 295-6744
(323) 295-6711
Mailing address
5602 VALLEY GLEN WAY, LOS ANGELES, CA 90043-2122
(323) 295-6744
(323) 295-6711
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
CA
311ZA0620X
Adult Care Home Facility
—
CA
Other
Enumeration date
02/11/2008
Last updated
03/01/2008
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