Organization
PICO RIVERA GARDENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORDECHAI STOCK (LICENSEE)
(562) 949-8489
Entity
Organization
Contact information
Practice address
6525 ROSEMEAD BLVD, PICO RIVERA, CA 90660-3501
(562) 949-8489
Mailing address
6525 ROSEMEAD BLVD, PICO RIVERA, CA 90660-3501
(562) 949-8489
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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