Organization
LA CASITA RESIDENTIAL CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN SANTAMARIA (LICENSEE)
(626) 616-3905
Entity
Organization
Contact information
Practice address
700 N GRAND AVE, GLENDORA, CA 91741-1926
(626) 616-3905
Mailing address
700 N GRAND AVE, GLENDORA, CA 91741-1926
(626) 616-3905
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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