NPI 1396907663

Harvest Moon Intermediate Care Facility- Nursing

Organisation Nursing Facility/Intermediate Care Facility West Covina, CA

Practice location

Address: 1017 E Harvest Moon St, West Covina, CA 91792-1023
Phone: (626) 961-0076
Fax: (626) 961-0076

Authorised official

Name: Yolie Crume
Title: Administrator
Phone: (626) 551-7379

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: 1396907663
Entity type: Organization
NPI issued: 27 Jun 2008
Record last updated: 27 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.