Organization
LAUREL HOUSE ICF
Active
Other names
Laurel House
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN JANET HAYWOOD (PRESIDENT)
(951) 545-4462
Entity
Organization
Contact information
Practice address
226 N LAUREL AVE, UPLAND, CA 91786-5936
(951) 545-4462
Mailing address
1476 W 9TH ST STE B1, UPLAND, CA 91786-5699
(951) 545-4462
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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