NPI 1295937415

Harvestmoon Icfddn

Organisation Nursing Facility/Intermediate Care Facility West Covina, CA

Practice location

Address: 1017 E Harvest Moon St, West Covina, CA 91792-1023
Phone: (626) 665-8938
Fax: (925) 516-7106

Authorised official

Name: Yolie Crume
Title: Administrator-Owner
Phone: (626) 665-8938

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 960001418 (CA)

Other Nursing Facility/Intermediate Care Facility providers in California →

Registry record

NPI: 1295937415
Entity type: Organization
NPI issued: 1 Jun 2007
Record last updated: 19 Jun 2008

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.