GLEN PARK AT LONG BEACH NPI 1932584505

NPI Information

GLEN PARK AT LONG BEACH is an assisted living facility in Long Beach, 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. GLEN PARK AT LONG BEACH NPI is 1932584505. The provider is registered as an organization entity type.

The provider's business location address is:

1046 E 4TH ST
LONG BEACH, CA
ZIP 90802-634
Phone: (562) 432-7468
Fax: (562) 432-1425

The provider's authorized official is Tillman Pink .
The authorized official title is President and has the following contact phone number (818) 242-9000.

The enumeration date for this NPI number is 7/24/2015 and was last updated on 7/24/2015.

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:

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