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Organization

HACIENDA GRANDE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RODRIGO RAMOS RESIDENTIAL CARE (ADMINISTRATOR RESIDENTIAL CARE)
(562) 597-7753
Entity
Organization

Contact information

Practice address
1740 GRAND AVE, LONG BEACH, CA 90804-2011
(562) 597-7753
(562) 597-7755
Mailing address
1740 GRAND AVE, LONG BEACH, CA 90804-2011
(562) 597-7753
(562) 597-7755

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
198205024
CA

Other

Enumeration date
11/25/2008
Last updated
11/25/2008
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