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Organization

GRANDVIEW RETIREMENT HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. YENI FLORES ADMINISTRATOR (ADMINISTRATOR)
(213) 380-7000
Entity
Organization

Contact information

Practice address
2211 W 6TH ST, LOS ANGELES, CA 90057-3120
(213) 380-7000
(213) 387-8330
Mailing address
2211 W 6TH ST, LOS ANGELES, CA 90057-3120
(213) 380-7000
(213) 387-8330

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
197607596
CA

Other

Enumeration date
10/03/2011
Last updated
10/03/2011
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