Organization
WOODRUFF CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BOLONG RCS (ADMINISTRATOR)
(562) 925-6581
Entity
Organization
Contact information
Practice address
16409 WOODRUFF AVE, BELLFLOWER, CA 90706-4911
(562) 925-6581
Mailing address
16409 WOODRUFF AVE, BELLFLOWER, CA 90706-4911
(562) 925-6581
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
191592947
CA
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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