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NPI Code Detail

MEDICARE: ROMAN EMPIRE LIVING SKILLS

MEDICARE: ROMAN EMPIRE LIVING SKILLS
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1760915144
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROMAN EMPIRE LIVING SKILLS
Provider Business Mailing Address
First Line : 1000 S FREMONT AVE UNIT 85
Second Line :
City : ALHAMBRA
State : CA
Zip : 91803-8822
Country : US
Telephone Number : 626-833-8424
Fax Number : 626-270-4094
Provider Business Practice Location Address
First Line : 1000 S FREMONT AVE UNIT 85
Second Line :
City : ALHAMBRA
State : CA
Zip : 91803-8822
Country : US
Telephone Number : 626-833-8424
Fax Number : 626-270-4094
Authorized Official
Title or Position : CEO
Name : MRS. GABRIELA SALCIDO
Credential : BA, ED, J.D,L.L.M
Telephone Number : 626-833-8424
Provider Enumeration Date : 04/04/2017
Last Update Date : 04/04/2017

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Directions to “ROMAN EMPIRE LIVING SKILLS ” Practice Location

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