Organization
GENTLE MANOR ELDERLY CARE, INC.
Active
Organization
GENTLE MANOR ELDERLY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLE CAJUCOM (LICENSEE)
(562) 335-2431
Entity
Organization
Contact information
Practice address
4193 TERESA AVE, CYPRESS, CA 90630-4238
(714) 826-6144
Mailing address
12733 ALCHESTER ST, CERRITOS, CA 90703-7271
(562) 335-2431
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
306002859
CA
Other
Enumeration date
06/15/2017
Last updated
06/16/2018
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