Organization
ETHEL'S GUEST HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETHEL JANE OCAMPO MONTERROSO (CEO/ ADMINISTRATOR)
(310) 634-7522
Entity
Organization
Contact information
Practice address
1730 W 1ST ST, SAN PEDRO, CA 90732-3107
(310) 634-7522
(310) 832-1960
Mailing address
1730 W 1ST ST, SAN PEDRO, CA 90732-3107
(310) 634-7522
(310) 832-1960
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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