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NPI Code Detail

MEDICARE: G & C SWAN INC

MEDICARE: G & C SWAN 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
1324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1831924174
Entity Type Code : Organization
Provider Name (Legal Business Name) : G & C SWAN INC
Provider Business Mailing Address
First Line : 333 E ARROW HWY UNIT 220
Second Line :
City : UPLAND
State : CA
Zip : 91785-7008
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11646 ENCANTO LN
Second Line :
City : COLTON
State : CA
Zip : 92324-9218
Country : US
Telephone Number : 909-241-7219
Fax Number :
Authorized Official
Title or Position : CFO
Name : CAROL SWANSON
Credential :
Telephone Number : 909-476-2023
Provider Enumeration Date : 09/05/2024
Last Update Date : 01/24/2025

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Directions to “G & C SWAN INC ” Practice Location

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