Organization
MERCED HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REYNALDA MERCED (CHIEF EXECUTIVE OFFICER)
(562) 714-7363
Entity
Organization
Contact information
Practice address
11451 TRUE WAY, GARDEN GROVE, CA 92840-2330
(714) 583-8572
(714) 761-1747
Mailing address
12446 SUMMERWIND ST, CERRITOS, CA 90703-8328
(562) 716-5958
(562) 402-1411
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
060000434
CA
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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