Organization
FOOTHILL CARE CENTER II, LLC
Active
Other names
Calera Home
Organization subpart
No
Provider details
NPI number
Authorized official
MISS EDEN DE ASIS SALCEDA (ADMINISTRATOR)
(626) 962-3274
Entity
Organization
Contact information
Practice address
5311 N CALERA AVE, COVINA, CA 91722-1905
(626) 966-4529
Mailing address
1758 BIG DALTON AVE, BALDWIN PARK, CA 91706-5910
(626) 962-3274
(626) 962-4424
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC60659F
—
CA
Enumeration date
05/01/2007
Last updated
08/22/2020
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