Organization
ROBSAG INC.
Active
Other names
Arbor Vista Retirement Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK DOUGLAS HAMILTON (ADMINISTRATOR)
(626) 794-4103
Entity
Organization
Contact information
Practice address
811 E WASHINGTON BLVD, PASADENA, CA 91104-5013
(626) 797-7296
Mailing address
1760 N FAIR OAKS AVE, PASADENA, CA 91103-1617
(626) 797-7296
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
197602925
CA
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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