Organization
GLENDORA GRAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKI P ROLLINS RN (VICE-PRESIDENT)
(626) 331-0781
Entity
Organization
Contact information
Practice address
805 W. ARROW HIGHWAY, GLENDORA, CA 91740-5413
(626) 331-0781
(626) 332-8835
Mailing address
805 W. ARROW HIGHWAY, GLENDORA, CA 91740-5413
(626) 331-0781
(626) 332-8835
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
950000079
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
950000079
—
CA
Enumeration date
02/26/2010
Last updated
03/25/2014
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