NPI 1548415904
Hacienda Grande
Practice location
- Address
- 1740 Grand Ave, Long Beach, CA 90804-2011
- Phone
- (562) 597-7753
- Fax
- (562) 597-7755
Authorised official
- Name
- Rodrigo Ramos
- Title
- Administrator Residential Care
- Phone
- (562) 597-7753
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1548415904
- Entity type
- Organization
- NPI issued
- 25 Nov 2008
- Record last updated
- 25 Nov 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.