Organization
TRAVELWORLD USA INC
Active
Other names
Mission Adult Day Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA C GOMEZ MSW (ADMINISTRATOR)
(909) 548-3858
Entity
Organization
Contact information
Practice address
4439 MISSION BLVD, MONTCLAIR, CA 91763
(909) 548-3858
(909) 548-3853
Mailing address
4439 MISSION BLVD, MONTCLAIR, CA 91763
(909) 548-3858
(909) 548-3853
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6829435
—
CA
Enumeration date
11/15/2006
Last updated
08/22/2020
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