Organization
MASONIC HOMES OF CALIFORNIA
Active
Parent organization
MASONIC HOMES OF CALIFORNIA
Other names
Masonic Homes of California - Covina
Organization subpart
Yes
Provider details
NPI number
Legal business name
MASONIC HOMES OF CALIFORNIA
Authorized official
ANNA MILLICH JD (ASSOCIATE GENERAL COUNSEL)
(415) 929-3001
Entity
Organization
Contact information
Practice address
1650 E OLD BADILLO ST, COVINA, CA 91724-3163
(626) 251-2200
Mailing address
1650 E OLD BADILLO ST, COVINA, CA 91724-3163
(626) 251-2200
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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