Organization
LIFELUNG, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANNETTE PALAZUELOS (PRESIDENT)
(626) 614-9581
Entity
Organization
Contact information
Practice address
1231 S GLADYS AVE, SAN GABRIEL, CA 91776-3132
(626) 614-9581
Mailing address
1231 S GLADYS AVE, SAN GABRIEL, CA 91776-3132
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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