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NPI Code Detail

MEDICARE: ALLEN CARE CENTER, INC

MEDICARE: ALLEN CARE CENTER, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility920000035CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386836211
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLEN CARE CENTER, INC
Provider Business Mailing Address
First Line : 201 ALLEN AVE
Second Line :
City : GLENDALE
State : CA
Zip : 91201-2803
Country : US
Telephone Number : 818-845-8507
Fax Number :
Provider Business Practice Location Address
First Line : 201 ALLEN AVE
Second Line :
City : GLENDALE
State : CA
Zip : 91201-2803
Country : US
Telephone Number : 818-845-8507
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. JOHN OKOROCHA
Credential :
Telephone Number : 310-644-5151
Provider Enumeration Date : 08/14/2007
Last Update Date : 06/24/2015

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Directions to “ALLEN CARE CENTER, INC ” Practice Location

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