NPI 1508074717

Gm Home, INC. - III

Organisation Intellectual Disabilities Intermediate Care Facility La Mirada, CA

Practice location

Address: 15803 Foster Rd, La Mirada, CA 90638-3119
Phone: (562) 690-1238
Fax: (562) 352-0046
Mailing address: 15406 Olive Branch Dr, La Mirada, CA 90638-2430

Authorised official

Name: Susan Martinez
Title: Licensee
Phone: (562) 631-4157

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: 1508074717
Entity type: Organization
NPI issued: 19 May 2007
Record last updated: 22 Aug 2020

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.