Pico Rivera Gardens
NPI #1710605472 in Pico Rivera, California
Provider Information
- NPI Number
- 1710605472
- Entity Type
- Organization
- Organization Name
- Pico Rivera Gardens
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Aug 18, 2022
- Last Updated
- Aug 18, 2022
Practice Location
- Address
- 6525 ROSEMEAD BLVD
- City
- Pico Rivera
- State
- California
- ZIP Code
- 90660-3501
- Phone
- (562) 949-8489
Authorized Official
- Name
- MORDECHAI STOCK
- Title
- LICENSEE
- Phone
- (562) 949-8489
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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