Organization
TELECARE STEPDOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE SAMORA (L.V.N)
(562) 216-4900
Entity
Organization
Contact information
Practice address
4335 ATLANTIC AVE, LONG BEACH, CA 90807-2803
(562) 216-4900
(562) 484-3039
Mailing address
4335 ATLANTIC AVE, LONG BEACH, CA 90807-2803
(562) 216-4900
(562) 484-3039
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
VN 243937
CA
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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