Jomi Broadmoor Icfddn
Jomi Broadmoor 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
1547 S Broadmoor AveWest Covina, CA 91790-4709
Phone: (626) 917-1833
Fax: (818) 841-4403
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Specialties & licences
| Nursing Facility/Intermediate Care Facility (primary) | Taxonomy 313M00000X (CA) |
|---|
Record details
| NPI number | 1801937214 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Roger Cuevas — Business Manager · (818) 841-1044 |
| Other names | Jomi Icfddn |
| NPI enumerated | February 9, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1849 Ayers Way, Burbank, CA 91501-1106 |
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