Organization
ELITE MANOR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GALDYS PERVEZ (LICENSEE)
(626) 290-1573
Entity
Organization
Contact information
Practice address
935 N DAMATO DR, COVINA, CA 91724-2042
(626) 290-1573
Mailing address
1318 PASEO VALLE VIS, COVINA, CA 91724-3201
(626) 290-1573
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
03/28/2024
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