Mesa Glen Holdings LLC
NPI #1932215100 in Glendora, California
Provider Information
- NPI Number
- 1932215100
- Entity Type
- Organization
- Organization Name
- Mesa Glen Holdings LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 21, 2006
- Last Updated
- Aug 19, 2015
Practice Location
- Address
- 638 E COLORADO AVE
- City
- Glendora
- State
- California
- ZIP Code
- 91740
- Phone
- (626) 963-6091
Authorized Official
- Name
- MS. JENNIFER GREENWELL
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (909) 987-7735
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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