Organization · Type 2 NPI
Glen Park East
Assisted Living Facility · Glendale, CA
NPI number
1205082476
Active
Practice location
1250 Boynton St
Glendale, CA 91205-3451
Fax (818) 246-1577
Mailing address
1220 Mariposa St
Glendale, CA 91205-3254
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 191221691 (CA) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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About NPI 1205082476
Glen Park East's National Provider Identifier is 1205082476, issued on Aug 7, 2008. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Glendale, CA. The record was last updated on Aug 7, 2008.