United Care Providers-Holy Infant
NPI #1417928458 in Baldwin Park, California
Provider Information
- NPI Number
- 1417928458
- Entity Type
- Organization
- Organization Name
- United Care Providers-Holy Infant
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Jan 28, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4710 KENMORE AVE
- City
- Baldwin Park
- State
- California
- ZIP Code
- 91706-2309
- Phone
- (626) 962-8568
Authorized Official
- Name
- ADOLFO J FESTEJO
- Title
- VP/CFO
- Phone
- (818) 802-6303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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