Organization
GIMADA INCORPORATED
Active
Other names
GOLDEN EDEN III
Organization subpart
No
Provider details
NPI number
Authorized official
MART HYSAM PAMINTUAN (LICENSEE/ADMINISTRATOR)
(323) 441-3691
Entity
Organization
Contact information
Practice address
2602 OSTROM AVE, LONG BEACH, CA 90815-1601
(562) 452-7434
(562) 452-7423
Mailing address
2602 OSTROM AVE, LONG BEACH, CA 90815-1601
(562) 452-7434
(562) 452-7423
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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