Organization
WP CONGREGATE NURSING LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MI JUNG BAK REGISTERED NURSE (DIRECTOR OF NURSING)
(213) 819-1156
Entity
Organization
Contact information
Practice address
1916 E. LAINIE ST., WEST COVINA, CA 91792
(213) 819-1156
Mailing address
1916 E. LAINIE ST., WEST COVINA, CA 91792
(213) 819-1156
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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