Organization
HOLY INFANT JESUS CARE HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARDO OLIVAR PASCUAL M.D. (PRESIDENT)
(626) 253-6949
Entity
Organization
Contact information
Practice address
18812 HIGHCASTLE ST, LA PUENTE, CA 91744-6140
(626) 253-6949
(909) 594-2700
Mailing address
18812 HIGHCASTLE ST, LA PUENTE, CA 91744-6140
(626) 253-6949
(909) 594-2700
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
3138462
CA
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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