ABJC GRACIOUS LIVING INC. NPI 1720664576

NPI Information

NPI: 1720664576
Provider Name: ABJC GRACIOUS LIVING, INC.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
349 E KENWOOD ST
UPLAND, CA
ZIP 91784
Phone: (626) 622-0671
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ABJC GRACIOUS LIVING, INC. is an assisted living facility in Upland, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. ABJC GRACIOUS LIVING, INC. NPI is 1720664576. The provider is registered as an organization entity type.

The provider's business location address is:

349 E KENWOOD ST
UPLAND, CA
ZIP 91784-227
Phone: (626) 622-0671

The provider's authorized official is Angel Kao .
The authorized official title is President and has the following contact phone number (626) 622-0671.

The enumeration date for this NPI number is 3/22/2021 and was last updated on 3/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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