GM HOME INC. - III NPI 1508074717

NPI Information

GM HOME, INC. - III is an intermediate care facility mentally retarded in La Mirada, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. GM HOME, INC. - III NPI is 1508074717. The provider is registered as an organization entity type.

The provider's business location address is:

15803 FOSTER RD
LA MIRADA, CA
ZIP 90638-119
Phone: (562) 690-1238
Fax: (562) 352-0046

The provider's authorized official is Susan Martinez .
The authorized official title is Licensee and has the following contact phone number (562) 631-4157.

The enumeration date for this NPI number is 5/19/2007 and was last updated on 8/22/2020.

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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