Normal Life of California, Inc.
NPI #1003943838 in Azusa, California
Provider Information
- NPI Number
- 1003943838
- Entity Type
- Organization
- Organization Name
- Normal Life of California, Inc.
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Feb 28, 2007
- Last Updated
- Mar 15, 2024
Practice Location
- Address
- 1361 N BRIAN AVE
- City
- Azusa
- State
- California
- ZIP Code
- 91702-1802
- Phone
- (714) 537-3252
Authorized Official
- Name
- ANGIE MATTINGLY
- Title
- MGR PROVIDER ENROLLMENT
- Phone
- (502) 394-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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