Organization
FOREVER YOUNG ADULT DAY HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LULU O JUCO R.N. (ADMINISTRATOR RN)
(626) 960-2800
Entity
Organization
Contact information
Practice address
4265 MAINE AVE, BALDWIN PARK, CA 91706-3312
(626) 960-2800
(626) 960-2855
Mailing address
4265 MAINE AVE, BALDWIN PARK, CA 91706-3312
(626) 960-2800
(626) 960-2855
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADU70419F
—
CA
Enumeration date
04/23/2007
Last updated
08/22/2020
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