Organization
COMMUNITY ADULT DAY HEALTH CARE CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH JACKSON (ADMINISTRATOR)
(562) 591-7753
Entity
Organization
Contact information
Practice address
1954 ATLANTIC AVE, LONG BEACH, CA 90806-5510
(562) 591-7753
(562) 591-1422
Mailing address
1954 ATLANTIC AVE, LONG BEACH, CA 90806-5510
(562) 591-7753
(562) 591-1422
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
CA
Other
Enumeration date
11/11/2005
Last updated
08/22/2020
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