Organization
ALDERWOOD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN H GARRETT JR. (CEO)
(626) 282-8431
Entity
Organization
Contact information
Practice address
115 BRIDGE ST, SAN GABRIEL, CA 91775-2719
(626) 289-4439
(626) 289-0056
Mailing address
115 BRIDGE ST, SAN GABRIEL, CA 91775-2719
(626) 289-4439
(626) 289-0056
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
950000007
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055441
—
CA
Enumeration date
07/18/2005
Last updated
05/28/2010
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