Organization
HARBOR HEALTHCARE INC
Active
Other names
PHOENIX DIVISION
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL LOFLIN WERTZ (CEO)
(562) 866-7054
Entity
Organization
Contact information
Practice address
9630 ROSE ST, BELLFLOWER, CA 90706-6622
(562) 866-7054
(562) 867-8053
Mailing address
16917 CLARK AVE, BELLFLOWER, CA 90706-5703
(562) 866-7054
(562) 867-8053
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC80003I
—
CA
Enumeration date
03/01/2007
Last updated
08/22/2020
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