Organization
D & U LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL ELIZABETH DEMARCO (MANAGING MEMBER OF LLC)
(626) 287-0753
Entity
Organization
Contact information
Practice address
824 S GLADYS AVE, SAN GABRIEL, CA 91776-2710
(626) 287-0753
(626) 286-2421
Mailing address
824 S GLADYS AVE, SAN GABRIEL, CA 91776-2710
(626) 287-0753
(626) 286-2421
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
197603734
CA
314000000X
Skilled Nursing Facility
Primary
950000071
CA
Other
Enumeration date
06/11/2007
Last updated
01/08/2009
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