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Harvestmoon Icfddn
Nursing Facility/Intermediate Care Facility in West Covina, California
NPI 1295937415

Harvestmoon Icfddn is a Nursing Facility/Intermediate Care Facility based in West Covina, CA. Harvestmoon Icfddn practices in West Covina, CA. The NPI Number for Harvestmoon Icfddn is 1295937415 and holds a License No. 960001418 (California).

The current practice location address for Harvestmoon Icfddn is 1017 E Harvest Moon St, West Covina, CA and can be reached out via phone at 626-665-8938 and via fax at 925-516-7106.

Location: 1017 E Harvest Moon St, West Covina, CA, 91792-1023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295937415
Provider Name
Harvestmoon Icfddn
Credential
Provider Entity Type
Organization
Address
1017 E Harvest Moon St, West Covina, CA, 91792-1023
Phone Number
626-665-8938
Fax Number
925-516-7106
Provider Enumeration Date
06/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1017 E Harvest Moon St
City
West Covina
State
California
Zip
91792-1023
Phone Number
626-665-8938
Fax Number
925-516-7106
person
Provider Business Mailing Address Details
Address
1017 E Harvest Moon St
City
West Covina
State
California
Zip
91792-1023
Phone Number
626-665-8938
Fax Number
925-516-7106
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
960001418 (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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