Provider Demographics
NPI:1255994992
Name:A & L HOLDINGS, INCORPORATED
Entity type:Organization
Organization Name:A & L HOLDINGS, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:Z
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:951-201-7075
Mailing Address - Street 1:1160 CHERI DR
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-2602
Mailing Address - Country:US
Mailing Address - Phone:951-201-7075
Mailing Address - Fax:562-697-1375
Practice Address - Street 1:1160 CHERI DR
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-2602
Practice Address - Country:US
Practice Address - Phone:951-201-7075
Practice Address - Fax:562-697-1375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-18
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA6260472OtherDMV