Laurel House Icf
NPI #1831722255 in Upland, California
Provider Information
- NPI Number
- 1831722255
- Entity Type
- Organization
- Organization Name
- Laurel House Icf
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Feb 13, 2020
- Last Updated
- Feb 13, 2020
Practice Location
- Address
- 226 N LAUREL AVE
- City
- Upland
- State
- California
- ZIP Code
- 91786-5936
- Phone
- (951) 545-4462
Authorized Official
- Name
- KATHLEEN JANET HAYWOOD
- Title
- PRESIDENT
- Phone
- (951) 545-4462
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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