Organization
FAIR OAKS MANOR III
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAY CABRERA (BUSINESS MANAGER)
(626) 264-7822
Entity
Organization
Contact information
Practice address
5035 ECHO ST, HIGHLAND PARK, CA 90042-3915
(323) 255-0797
(323) 916-0134
Mailing address
5035 ECHO ST, HIGHLAND PARK, CA 90042-3915
(323) 255-0797
(323) 916-0134
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
191801581
CA
Other
Enumeration date
04/08/2016
Last updated
04/25/2016
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