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Glenridge Center
Intellectual Disabilities Intermediate Care Facility in Glendale, California
NPI 1477688810

Glenridge Center is a Intellectual Disabilities Intermediate Care Facility based in Louisville, CA. Glenridge Center practices in Glendale, CA. The NPI Number for Glenridge Center is 1477688810 and holds a License No. (California).

The current practice location address for Glenridge Center is 611 S Central Ave, Glendale, CA and can be reached out via phone at 714-537-3252.

Location: 611 S Central Ave, Glendale, CA, 40222-7101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477688810
Provider Name
Glenridge Center
Credential
Provider Entity Type
Organization
Address
611 S Central Ave, Glendale, CA, 40222-7101
Phone Number
714-537-3252
Fax Number
Provider Enumeration Date
02/23/2007
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZT05486J 05 CA
institution
Provider Business Practice Location Address Details
Address
611 S Central Ave
City
Glendale
State
California
Zip
91204-2008
Phone Number
714-537-3252
Fax Number
person
Provider Business Mailing Address Details
Address
611 S Central Ave
City
Glendale
State
California
Zip
91204-2008
Phone Number
714-537-3252
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
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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