Organization
GLEN-PARK WEST RETIREMENT COMMUNITY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TILLMAN PINK JR JR. (PRESIDENT)
(818) 242-9000
Entity
Organization
Contact information
Practice address
1220 MARIPOSA ST, GLENDALE, CA 91205-3254
(818) 242-9000
(818) 242-3972
Mailing address
1220 MARIPOSA ST, GLENDALE, CA 91205-3254
(818) 242-9000
(818) 242-3972
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RCF00031F
—
CA
Enumeration date
12/07/2007
Last updated
12/07/2007
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