Gm Home, Inc. - I
NPI #1982812186 in La Mirada, California
Provider Information
- NPI Number
- 1982812186
- Entity Type
- Organization
- Organization Name
- Gm Home, Inc. - I
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- May 19, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 13111 BLUEFIELD AVE
- City
- La Mirada
- State
- California
- ZIP Code
- 90638-2319
- Phone
- (562) 940-7128
Authorized Official
- Name
- SUSAN MARTINEZ
- Title
- LICENSEE
- Phone
- (562) 631-4157
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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