Organization
TLC GUEST HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ALYN ABAD DOMONDON DIRECTOR (ADMINISTRATOR)
(424) 263-5385
Entity
Organization
Contact information
Practice address
1700 248TH ST, LOMITA, CA 90717-1333
(424) 263-5385
Mailing address
733 W CARSON ST, TORRANCE, CA 90502-2106
(702) 502-7632
(702) 359-2388
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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