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Organization

R PLACE DUARTE LLC

Active
Other names
R Place Duarte
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT A RISINGER (ADMINISTRATOR)
(626) 285-3422
Entity
Organization

Contact information

Practice address
3002 FREEBORN ST, DUARTE, CA 91010-1507
(626) 285-3422
Mailing address
1750 ROSE AVE, SAN MARINO, CA 91108-3015
(626) 285-3422

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
09/18/2020
Last updated
09/18/2020
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