Organization
RCN PEDIATRIC CARE II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORAZON NARNE (ADMINISTRATOR/OWNER)
(626) 918-8830
Entity
Organization
Contact information
Practice address
15525 FELLOWSHIP ST, LA PUENTE, CA 91744-1114
(626) 918-8830
Mailing address
15525 FELLOWSHIP ST, LA PUENTE, CA 91744-1114
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
11/21/2007
Last updated
06/17/2008
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