Jwbjw-Adhc
Clinic/Center, Adult Day Care in Long Beach, CA. Organization (NPI-2).
NPI number1508043803
StatusActive
Last updated in NPPESJan 29, 2008
Details
- NPI
- 1508043803
- Entity type
- Organization (NPI-2)
- Legal business name
- Jwbjw-Adhc
- Organization subpart
- No
- Enumeration date
- Jan 29, 2008
- Last updated
- Jan 29, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA0600X | Clinic/Center, Adult Day Care | 060000768 | CA | Yes |
Other names
- Active Adult Day Healthcare (Doing Business As)
Practice location
2385 Pacific AveLong Beach, CA 90806-3025
Phone 562-426-7772
Mailing address
2385 Pacific AveLong Beach, CA 90806-3025
Phone 562-426-7772
Authorized official
Sheilah Grier
Director Of Patient Accounting
5624267772
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