Healthcare Provider Details
I. General information
NPI: 1861573560
Provider Name (Legal Business Name): ARCADIA ADHC INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/18/2006
Last Update Date: 10/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
288 E. HUNTINGTON DR.
MONROVIA CA
91016
US
IV. Provider business mailing address
288 E. HUNTINGTON DR.
MONROVIA CA
91016
US
V. Phone/Fax
- Phone: 626-447-9700
- Fax: 626-446-5405
- Phone: 626-447-9700
- Fax: 626-446-5405
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | 060000726 |
| License Number State | CA |
VIII. Authorized Official
Name: MR.
VICTOR
K
HO
Title or Position: ADMINISTRATOR
Credential:
Phone: 626-447-9700