Organization
MONTE VISTA GROVE HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM P. HOUSER (CONTROLLER)
(626) 796-6135
Entity
Organization
Contact information
Practice address
2889 SAN PASQUAL ST, PASADENA, CA 91107-5364
(626) 796-6135
(626) 796-9753
Mailing address
2889 SAN PASQUAL ST, PASADENA, CA 91107-5364
(626) 796-6135
(626) 796-9753
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
970000086
CA
Other
Enumeration date
11/01/2006
Last updated
09/17/2008
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