NPI 1154519015

Janray Home

Organisation Intellectual Disabilities Intermediate Care Facility La Mirada, CA

Practice location

Address: 12921 Biola Ave, La Mirada, CA 90638-2104
Phone: (562) 773-5700
Fax: (562) 906-2992

Authorised official

Name: Ramon Baesa
Title: Administrator
Phone: (562) 773-5700

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in California →

Registry record

NPI: 1154519015
Entity type: Organization
NPI issued: 4 Oct 2007
Record last updated: 4 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.