R Place Duarte LLC
NPI #1417563016 in Duarte, California
Provider Information
- NPI Number
- 1417563016
- Entity Type
- Organization
- Organization Name
- R Place Duarte LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Sep 18, 2020
- Last Updated
- Sep 18, 2020
Practice Location
- Address
- 3002 FREEBORN ST
- City
- Duarte
- State
- California
- ZIP Code
- 91010-1507
- Phone
- (626) 285-3422
Authorized Official
- Name
- ROBERT A RISINGER
- Title
- ADMINISTRATOR
- Phone
- (626) 285-3422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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