Organization
HOUSE OF GRACE 5
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE AQUIRRE (LICENSEE)
(626) 716-1033
Entity
Organization
Contact information
Practice address
202 E CAMDEN ST, GLENDORA, CA 91740-5131
(626) 716-1033
Mailing address
202 E CAMDEN ST, GLENDORA, CA 91740-5131
(626) 716-1033
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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