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United Care Providers-holy Infant
Intellectual Disabilities Intermediate Care Facility in Baldwin Park, California
NPI 1417928458

United Care Providers-holy Infant is a Intellectual Disabilities Intermediate Care Facility based in Rowland Heights, CA. United Care Providers-holy Infant practices in Baldwin Park, CA. The NPI Number for United Care Providers-holy Infant is 1417928458 and holds a License No. 96000054 (California).

The current practice location address for United Care Providers-holy Infant is 4710 Kenmore Ave, Baldwin Park, CA and can be reached out via phone at 626-962-8568 and via fax at 626-962-2444.

Location: 4710 Kenmore Ave, Baldwin Park, CA, 91748-4755
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417928458
Provider Name
United Care Providers-holy Infant
Credential
Provider Entity Type
Organization
Address
4710 Kenmore Ave, Baldwin Park, CA, 91748-4755
Phone Number
626-962-8568
Fax Number
626-962-2444
Provider Enumeration Date
01/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC80016F 05 CA
institution
Provider Business Practice Location Address Details
Address
4710 Kenmore Ave
City
Baldwin Park
State
California
Zip
91706-2309
Phone Number
626-962-8568
Fax Number
626-962-2444
person
Provider Business Mailing Address Details
Address
4710 Kenmore Ave
City
Baldwin Park
State
California
Zip
91706-2309
Phone Number
626-962-8568
Fax Number
626-962-2444
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
96000054 (California)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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