Organization
CHATEAU DOMESTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NORA CELESTIAL MAMINTA (PRESIDENT)
(562) 506-5297
Entity
Organization
Contact information
Practice address
3505 LONG BEACH BLVD, SUITE 2C, LONG BEACH, CA 90807-3907
(562) 426-9139
(562) 426-9146
Mailing address
3505 LONG BEACH BLVD, SUITE 2C, LONG BEACH, CA 90807-3907
(562) 426-9139
(562) 426-9146
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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