Organization
MED SITE HACIENDA HEIGHTS
Active
Other names
A Day Away...ADHC
Organization subpart
No
Provider details
NPI number
Authorized official
PAT BRAY RN (VICE PRESIDENT)
(562) 902-7757
Entity
Organization
Contact information
Practice address
15060 E. IMPERIAL HWY, LA MIRADA, CA 90638
(562) 902-5305
(562) 902-0835
Mailing address
15060 E. IMPERIAL HWY, LA MIRADA, CA 90638
(562) 902-5305
(562) 902-0835
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADU70185F
—
CA
Enumeration date
05/16/2007
Last updated
08/22/2020
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