Individual provider · Type 1 NPI
Bethany Jean Carlson
Physical Disabilities Residential Treatment Facility · Rosemead, CA
NPI number
1942887898
Active
Practice location
1000 San Gabriel Blvd Ste 200
Rosemead, CA 91770-4394
Fax (323) 486-1440
Mailing address
13865 Reposa Ct
Eastvale, CA 92880-3268
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | 236417 (CA) |
Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
Another provider at this address
About NPI 1942887898
Bethany Jean Carlson's National Provider Identifier is 1942887898, issued on Mar 26, 2021. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Rosemead, CA. The record was last updated on Mar 26, 2021.