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1003249822
CROFT LIVING HOME, INC.
LOS ANGELES, CA
NPI
1003249822
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Entity Type
Organization
Authorized Contact
SHADY BORNA
President
323-655-5060
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: CA 550002351)
Enumeration Date
2013-08-15
Last Update Date
2013-08-15
Business Address
CROFT LIVING HOME, INC.
458 N CROFT AVE
LOS ANGELES, CA 90048-2509
Phone number: 323-655-5060
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Mailing Address
CROFT LIVING HOME, INC.
458 N CROFT AVE
LOS ANGELES, CA 90048-2509
Phone number: 323-655-5060
Copy
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