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Jomi Alta5 Icfdd N
Nursing Facility/Intermediate Care Facility in Altadena, California
NPI 1124169537

Jomi Alta5 Icfdd N is a Nursing Facility/Intermediate Care Facility based in Burbank, CA. Jomi Alta5 Icfdd N practices in Altadena, CA. The NPI Number for Jomi Alta5 Icfdd N is 1124169537 and holds a License No. (California).

The current practice location address for Jomi Alta5 Icfdd N is 2075 El Molino Ave, Altadena, CA and can be reached out via phone at 626-791-1321 and via fax at 818-841-4403.

Location: 2075 El Molino Ave, Altadena, CA, 91501-1106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124169537
Provider Name
Jomi Alta5 Icfdd N
Credential
Provider Entity Type
Organization
Address
2075 El Molino Ave, Altadena, CA, 91501-1106
Phone Number
626-791-1321
Fax Number
818-841-4403
Provider Enumeration Date
02/09/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2075 El Molino Ave
City
Altadena
State
California
Zip
91001-3051
Phone Number
626-791-1321
Fax Number
818-841-4403
person
Provider Business Mailing Address Details
Address
2075 El Molino Ave
City
Altadena
State
California
Zip
91001-3051
Phone Number
626-791-1321
Fax Number
818-841-4403
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
(California)
Definition
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 condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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