Organization · Type 2 NPI

Jomi Broadmoor Icfddn

Nursing Facility/Intermediate Care Facility · West Covina, CA

NPI number 1801937214 Active

Practice location

1547 S Broadmoor Ave
West Covina, CA 91790-4709

Call (626) 917-1833 Map

Fax (818) 841-4403

Mailing address

1849 Ayers Way
Burbank, CA 91501-1106

Specialties and licenses

Taxonomy	Code	License
Nursing Facility/Intermediate Care Facility Primary	313M00000X	None listed

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 1801937214

Jomi Broadmoor Icfddn's National Provider Identifier is 1801937214, issued on Feb 9, 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 Aug 22, 2020.