Organization
ROBILYN GUEST HOME, INC.
Active
Other names
DBA Robilyn Guest Home IV
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERLINDA REYNOLDS (PRESIDENT)
(562) 818-4179
Entity
Organization
Contact information
Practice address
555 W SAN JOSE AVE, CLAREMONT, CA 91711
(909) 621-0810
(909) 625-4747
Mailing address
PO BOX 1929, LA MIRADA, CA 90637-1929
(909) 621-0810
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
960000523
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC60141I
—
CA
Enumeration date
08/31/2006
Last updated
02/17/2010
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