Organization
GLEN PARK AT MONROVIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TILLMAN PINK JR. (PRESIDENT)
(818) 242-9000
Entity
Organization
Contact information
Practice address
110 N MOUNTAIN AVE, MONROVIA, CA 91016-2435
(626) 357-6818
(626) 305-5339
Mailing address
1220 MARIPOSA ST, GLENDALE, CA 91205-3254
(818) 242-9000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
197802560
CA
Other
Enumeration date
09/04/2013
Last updated
07/11/2014
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