| Bimini Recovery Home | |
|
11046 Main St El Monte CA 91731-2617 | |
| (266) 362-3706 | |
| Not Available |
| Full Name | Bimini Recovery Home |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11046 Main St, El Monte, California |
| Authorized Official Name and Position | Denise Hernandez (DIRECTOR OF EDUCATION AND TRAINING) |
| Authorized Official Contact | 6266255008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bimini Recovery Home 11046 Main St El Monte CA 91731-2617 Ph: (266) 362-3706 | Bimini Recovery Home 11046 Main St El Monte CA 91731-2617 Ph: (266) 362-3706 |
| NPI Number | 1669937124 |
|---|---|
| Provider Enumeration Date | 02/08/2019 |
| Last Update Date | 01/10/2024 |
| Certification Date | 01/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669937124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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