Provider Demographics
NPI:1023871316
Name:THE PALAZZO OF DOWNEY, INC.
Entity type:Organization
Organization Name:THE PALAZZO OF DOWNEY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROWENA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARANTAL CARRILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-281-1439
Mailing Address - Street 1:9276 DOWNEY AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-2802
Mailing Address - Country:US
Mailing Address - Phone:213-281-1439
Mailing Address - Fax:
Practice Address - Street 1:9276 DOWNEY AVE
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240-2802
Practice Address - Country:US
Practice Address - Phone:213-281-1439
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility