Organization
REGAL SENIOR LIVING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELLEN VANN JONES (RCFE ADMINISTRATOR)
(626) 705-8021
Entity
Organization
Contact information
Practice address
1009 S CITRUS ST, WEST COVINA, CA 91791-3403
(626) 339-5402
(626) 373-2433
Mailing address
1009 S CITRUS ST, WEST COVINA, CA 91791-3403
(626) 339-5402
(626) 373-2433
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
197607719
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197607719
COMMUNITY CARE LICENSING DIVISION
CA
Enumeration date
01/05/2010
Last updated
01/05/2010
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