Organization
GLEN PARK AT GLENDORA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TILLMAN PINK JR. (CEO/PRESIDENT)
(818) 590-9827
Entity
Organization
Contact information
Practice address
452 SELLERS ST, GLENDORA, CA 91741-3846
(626) 594-0152
Mailing address
1027 S CENTRAL AVE # 202, GLENDALE, CA 91204-3957
(818) 296-4646
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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