Organization
VILLA REDONDO CARE HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL TALAVERA BOLONG (OFFICER)
(562) 434-9932
Entity
Organization
Contact information
Practice address
237 REDONDO AVE, LONG BEACH, CA 90803-5951
(562) 434-9931
Mailing address
237 REDONDO AVE, LONG BEACH, CA 90803-5951
(562) 434-9931
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
198204399
CA
Other
Enumeration date
10/10/2013
Last updated
10/10/2013
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