Fairmont Healthcare Corp.
NPI #1013079177 in La Puente, California
Provider Information
- NPI Number
- 1013079177
- Entity Type
- Organization
- Organization Name
- Fairmont Healthcare Corp.
- Primary Specialty
- Clinic/Center - Adult Day Care
- Enumeration Date
- Dec 15, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 13907 E. AMAR RD
- Address 2
- UNIT D
- City
- La Puente
- State
- California
- ZIP Code
- 91746-1676
- Phone
- (626) 338-4606
Authorized Official
- Name
- SHIRLEY S DEVERA
- Title
- CFO
- Phone
- (626) 338-4606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Day Care — Adult Day Care |
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