Organization
PALOS VERDES CARE COTTAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MA. SALVACION FABIANA MEDINA (CEO)
(562) 356-7130
Entity
Organization
Contact information
Practice address
1808 PENINSULA VERDE DR, RANCHO PALOS VERDES, CA 90275-1051
(562) 356-7130
Mailing address
1808 PENINSULA VERDE DR, RANCHO PALOS VERDES, CA 90275-1051
(562) 356-7130
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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