Organization Name: | FIVE ACES HEALTH CARE CORPORATION |
NPI Number: | 1053523142 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALDRIN HALABASO FESTEJO (FISCAL OFFICER) |
Mailing Address: | 18800 Amar Rd Suite D-5 Walnut |
State: | CA US |
Postal Code: | 917894166 |
Phone Number: | 6265814034 |
Fax Number: | 6265811356 |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 06/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | 060000731 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |