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Jomi Broadmoor Icfddn
Nursing Facility/Intermediate Care Facility in West Covina, California
NPI 1801937214

Jomi Broadmoor Icfddn is a Nursing Facility/Intermediate Care Facility based in Burbank, CA. Jomi Broadmoor Icfddn practices in West Covina, CA. The NPI Number for Jomi Broadmoor Icfddn is 1801937214 and holds a License No. (California).

The current practice location address for Jomi Broadmoor Icfddn is 1547 S Broadmoor Ave, West Covina, CA and can be reached out via phone at 626-917-1833 and via fax at 818-841-4403.

Location: 1547 S Broadmoor Ave, West Covina, CA, 91501-1106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801937214
Provider Name
Jomi Broadmoor Icfddn
Credential
Provider Entity Type
Organization
Address
1547 S Broadmoor Ave, West Covina, CA, 91501-1106
Phone Number
626-917-1833
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
1547 S Broadmoor Ave
City
West Covina
State
California
Zip
91790-4709
Phone Number
626-917-1833
Fax Number
818-841-4403
person
Provider Business Mailing Address Details
Address
1547 S Broadmoor Ave
City
West Covina
State
California
Zip
91790-4709
Phone Number
626-917-1833
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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