person
Mrs. Bethany Jean Carlson
Physical Disabilities Residential Treatment Facility in Rosemead, California
NPI 1942887898

Bethany Jean Carlson is a Physical Disabilities Residential Treatment Facility based in Eastvale, CA. Bethany Jean Carlson practices in Rosemead, CA. The NPI Number for Bethany Jean Carlson is 1942887898 and holds a License No. 236417 (California).

The current practice location address for Bethany Jean Carlson is 1000 San Gabriel Blvd Ste 200, Rosemead, CA and can be reached out via phone at 232-498-2231 and via fax at 323-486-1440. You can also correspond with Bethany Jean Carlson through the mailing address at 13865 REPOSA CT, EASTVALE, CA - 92880-3268 (mailing address contact number: 951-833-3233).

Location: 1000 San Gabriel Blvd Ste 200, Rosemead, CA, 92880-3268
person
Provider Profile Details
NPI Number
1942887898
Provider Name
Bethany Jean Carlson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1000 San Gabriel Blvd Ste 200, Rosemead, CA, 92880-3268
Phone Number
232-498-2231
Fax Number
323-486-1440
Provider Enumeration Date
03/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1000 San Gabriel Blvd Ste 200
City
State
Zip
91770-4394
Phone Number
232-498-2231
Fax Number
323-486-1440
person
Provider Business Mailing Address Details
Address
1000 San Gabriel Blvd Ste 200
City
State
Zip
91770-4394
Phone Number
232-498-2231
Fax Number
323-486-1440
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
License No.
236417 (California)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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