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The Compassionate Samaritan, Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Baldwin Park, California
NPI 1407089295

The Compassionate Samaritan, Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Baldwin Park, CA. The Compassionate Samaritan, Inc practices in Baldwin Park, CA. The NPI Number for The Compassionate Samaritan, Inc is 1407089295 and holds a License No. 360911118 (California).

The current practice location address for The Compassionate Samaritan, Inc is 3662 Ardilla Ave, Baldwin Park, CA and can be reached out via phone at 626-939-4433 and via fax at 626-698-4801.

Location: 3662 Ardilla Ave, Baldwin Park, CA, 91706-5635
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407089295
Provider Name
The Compassionate Samaritan, Inc
Credential
Provider Entity Type
Organization
Address
3662 Ardilla Ave, Baldwin Park, CA, 91706-5635
Phone Number
626-939-4433
Fax Number
626-698-4801
Provider Enumeration Date
08/27/2009
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
360911118 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
3662 Ardilla Ave
City
Baldwin Park
State
California
Zip
91706-5635
Phone Number
626-939-4433
Fax Number
626-698-4801
person
Provider Business Mailing Address Details
Address
3662 Ardilla Ave
City
Baldwin Park
State
California
Zip
91706-5635
Phone Number
626-939-4433
Fax Number
626-698-4801
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
360911118 (California)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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