Organization
ELITE MANOR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLADYS PERVEZ (LICENSEE)
(626) 290-1573
Entity
Organization
Contact information
Practice address
1318 PASEO VALLE VIS, COVINA, CA 91724-3201
(626) 290-1573
Mailing address
1318 PASEO VALLE VIS, COVINA, CA 91724-3201
(626) 290-1573
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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