Harvestmoon Icfddn
Harvestmoon Icfddn is a Nursing Facility/Intermediate Care Facility in West Covina, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
1017 E Harvest Moon StWest Covina, CA 91792-1023
Phone: (626) 665-8938
Fax: (925) 516-7106
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Specialties & licences
| Nursing Facility/Intermediate Care Facility (primary) | Taxonomy 313M00000X · Licence 960001418 (CA) |
|---|
Record details
| NPI number | 1295937415 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Yolie Crume — Administrator-Owner · (626) 665-8938 |
| Other names | Carequest |
| NPI enumerated | June 1, 2007 |
| Last updated in NPPES | June 19, 2008 |
| Mailing address | 1017 E Harvest Moon St, West Covina, CA 91792-1023 |
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