Organization
DE LEON COUNTRY MAUREEN'S HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE MARIE CAROTHERS B.S. (OWNER)
(562) 900-8789
Entity
Organization
Contact information
Practice address
3959 WALNUT AVE, CHINO, CA 91710-2148
(562) 900-8789
(562) 724-7244
Mailing address
5310 E HARCO ST, LONG BEACH, CA 90808-1922
(562) 900-8789
(562) 724-7244
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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