Organization
GLEN PARK AT GLENDALE - MARIPOSA ST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TILLMAN NMN PINK JR. (PRESIDENT)
(818) 242-9000
Entity
Organization
Contact information
Practice address
1220 MARIPOSA ST, GLEN PARK WEST RETIREMENT COMMUNITY INC, GLENDALE, CA 91205-3245
(818) 242-9000
(818) 242-3972
Mailing address
1220 MARIPOSA ST, GLEN PARK WEST RETIREMENT COMMUNITY INC, GLENDALE, CA 91205-3245
(818) 242-9000
(818) 242-3972
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
191222675
CA
Other
Enumeration date
01/03/2008
Last updated
01/08/2015
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