Organization
AMERICAN QUALITY CARE HOME INCORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOIDA Z BARRIENTOS (LICENSEE)
(626) 665-4453
Entity
Organization
Contact information
Practice address
1816 E MERCED AVE, WEST COVINA, CA 91791-3645
(626) 919-6247
(626) 967-1955
Mailing address
PO BOX 572, WALNUT, CA 91788-0572
(626) 665-4453
(626) 967-1955
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
198600245
CA
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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