Harvest Moon Intermediate Care Facility- Nursing
Harvest Moon Intermediate Care Facility- Nursing is a Nursing Facility/Intermediate Care Facility in West Covina, California. Licensed in California. Registered with an NPI since 2008.
- Licensed in
- CA
- In the registry since
- 2008
Practice location Address checks out
1017 E Harvest Moon StWest Covina, CA 91792-1023
Phone: (626) 961-0076
Fax: (626) 961-0076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nursing Facility/Intermediate Care Facility (primary) | Taxonomy 313M00000X · Licence 960001418 (CA) |
|---|
Record details
| NPI number | 1396907663 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Yolie Crume — Administrator · (626) 551-7379 |
| NPI enumerated | June 27, 2008 |
| Last updated in NPPES | June 27, 2008 |
| Mailing address | 1017 E Harvest Moon St, West Covina, CA 91792-1023 |
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