Provider Demographics
NPI:1033644570
Name:MONZE SENIOR RESIDENTIAL CARE INC
Entity Type:Organization
Organization Name:MONZE SENIOR RESIDENTIAL CARE INC
Other - Org Name:COMUNITA DI MONZE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAGALY
Authorized Official - Middle Name:NOEMI
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-464-1936
Mailing Address - Street 1:1143 PURDY ST
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91977-4754
Mailing Address - Country:US
Mailing Address - Phone:619-464-1936
Mailing Address - Fax:619-286-0757
Practice Address - Street 1:1143 PURDY ST
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91977-4754
Practice Address - Country:US
Practice Address - Phone:619-464-1936
Practice Address - Fax:619-286-0757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-21
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness