Organization · Type 2 NPI

Harvestmoon Icfddn

Nursing Facility/Intermediate Care Facility · West Covina, CA

NPI number 1295937415 Active

Practice location

1017 E Harvest Moon St
West Covina, CA 91792-1023

Fax (925) 516-7106

Specialties and licenses

Taxonomy	Code	License
Nursing Facility/Intermediate Care Facility Primary	313M00000X	960001418 (CA)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

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About NPI 1295937415

Harvestmoon Icfddn's National Provider Identifier is 1295937415, issued on Jun 1, 2007. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in West Covina, CA. The record was last updated on Jun 19, 2008.