Laurel House Icf

Nursing Facility/Intermediate Care Facility · Upland, CA

Organization Active NPI

NPI number 1831722255

Practice location

226 N Laurel Ave
Upland, CA 91786-5936
Phone
(951) 545-4462

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NPI record

NPI
1831722255
Entity type
Organization (Type 2)
Enumeration date
February 13, 2020
Last updated
February 13, 2020
Certified
February 13, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nursing Facility/Intermediate Care Facility Primary 313M00000X — —

Mailing address

1476 W 9TH St Ste B1
Upland, CA 91786-5699
Phone
(951) 545-4462

Authorized official

Name
Kathleen Janet Haywood
Title
President
Phone
(951) 545-4462

Other names

  • Laurel House

About Laurel House Icf

Laurel House Icf is a healthcare organization registered in the NPI registry with the primary taxonomy Nursing Facility/Intermediate Care Facility (code 313M00000X). The practice location is 226 N Laurel Ave, Upland, CA 91786-5936. The NPI number 1831722255 was assigned on February 13, 2020 and the record was last updated on February 13, 2020.

The authorized official for this organization is Kathleen Janet Haywood, President.

Frequently asked questions

What is the NPI number of Laurel House Icf?

The NPI number is 1831722255.

What is the phone number of Laurel House Icf?

The phone number listed for the practice location is (951) 545-4462.

Where is Laurel House Icf located?

226 N Laurel Ave, Upland, CA 91786-5936.

What is the taxonomy code for Laurel House Icf?

The primary taxonomy code is 313M00000X – Nursing Facility/Intermediate Care Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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