Tito V Duran And Josefina D Duran in Gardena - Adult Care Home
Tito V Duran And Josefina D Duran - NPI 1073724993
Tito V Duran And Josefina D Duran is a Adult Care Home in Gardena, California. Tito V Duran And Josefina D Duran practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for Tito V Duran And Josefina D Duran is 1073724993. The last update date is 2008-06-19.
Tito V Duran And Josefina D Duran's current location address is 1117 W 164th St, Gardena, California. You can contact this provider via phone number 3102170437 and fax number 3102170642. The mailing address for Tito V Duran And Josefina D Duran is 1117 W 164th St, Gardena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tito V Duran And Josefina D Duran |
|---|---|
| Address | 1117 W 164th St, Gardena, California |
| Phone Number | 3102170437 |
| Fax Number | 3102170642 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Duran Dabu Josefina |
| Telephone Number | 3108037039 |
NPI Number Detail
| NPI Number | 1073724993 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2008-06-19 |
Provider Mailing Address Detail
| Address | 1117 W 164th St |
|---|---|
| City | Gardena |
| State | California (CA) |
| Post Code | 902474802 |
| Phone Number | 3102170437 |
| Fax Number | 3102170642 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Care Home |
|---|---|
| Taxonomy | 311Za0620X |
| Licence No | 960000990 |
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Definition: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like en |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LTC60786F | CA | MEDICAL |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Tito V Duran And Josefina D Duran by the Centers for Medicare & Medicaid Services?
The Tito V Duran And Josefina D Duran has been issued the NPI (National Provider Identifier) 1073724993 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Tito V Duran And Josefina D Duran's physical address?
The Tito V Duran And Josefina D Duran is physically located at 1117 W 164Th St, in the city of Gardena, CA, with the postal code 902474802.
What is the Tito V Duran And Josefina D Duran's area of specialization and corresponding taxonomy classification?
The Tito V Duran And Josefina D Duran's specialty field is Adult Care Home, and it falls under the taxonomy code 311Za0620X, which categorizes healthcare providers based on their specialties.
On what date was the 1073724993 assigned to Tito V Duran And Josefina D Duran?
The Tito V Duran And Josefina D Duran was issued its 1073724993 on 2007-05-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Tito V Duran And Josefina D Duran most recently updated?
The details pertaining to the Tito V Duran And Josefina D Duran, including its address, specialty, and other relevant information, were last refreshed on 2008-06-19.