Organization
MONTOAK SENIOR LIVING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAJMA SHAHEEN (ADMINISTRATOR)
(310) 406-6193
Entity
Organization
Contact information
Practice address
1700 248TH ST, LOMITA, CA 90717-1333
(310) 406-6193
Mailing address
1700 248TH ST, LOMITA, CA 90717-1333
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000
—
CA
Enumeration date
08/11/2021
Last updated
08/11/2021
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