Organization
FIDES ASSISTED LIVING, INC.
Active
Other names
Springfield Manor
Organization subpart
No
Provider details
NPI number
Authorized official
TED BONZON LCSW (LICENSEE)
(818) 846-4469
Entity
Organization
Contact information
Practice address
2526 NEW AVE, ROSEMEAD, CA 91770-2939
(818) 846-4469
Mailing address
2526 NEW AVE, ROSEMEAD, CA 91770-2939
(818) 846-4469
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/26/2022
Last updated
12/26/2022
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