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Organization

WINDSOR HALL CARE HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL CAGULADA BOLONG (ADMINISTRATOR)
(213) 383-1547
Entity
Organization

Contact information

Practice address
1415 JAMES M WOOD BLVD, LOS ANGELES, CA 90015
(213) 383-1547
(213) 387-4429
Mailing address
1415 JAMES M WOOD BLVD, LOS ANGELES, CA 90015
(213) 383-1547
(213) 387-4429

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
05/01/2008
Last updated
05/01/2008
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