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Organization

DIAMOND GARDEN HOME

Active
Parent organization
SUNSHINE RESIDENTIAL HOME, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SUNSHINE RESIDENTIAL HOME, LLC
Authorized official
MR. JOSEPH JOSE (OWNER)
(818) 274-1809
Entity
Organization

Contact information

Practice address
15319 SPINNING AVE, GARDENA, CA 90249-4143
(818) 274-1809
(323) 978-6018
Mailing address
15319 SPINNING AVE, GARDENA, CA 90249-4143
(818) 274-1809
(323) 978-6018

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary

Other

Enumeration date
12/02/2025
Last updated
12/02/2025
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