MODEL RESIDENTIAL HOME, INC

LOS ANGELES, CA
NPI1073721288
Doing Business AsLAVERNA GUEST HOME
Entity TypeOrganization
Authorized ContactEVELYN MORENO
Licensee
323-254-3621
Organization Subpart ?No
Primary Taxonomy315P00000X Intermediate Care Facility, Intellectual Disabilities
(Licence: CA  960001042)
Enumeration Date2007-05-19
Last Update Date2008-06-19
Business Address
MODEL RESIDENTIAL HOME, INC
2227 LAVERNA AVE
LOS ANGELES, CA 90041-2624
Phone number: 323-254-3621
Mailing Address
MODEL RESIDENTIAL HOME, INC
2227 LAVERNA AVE
LOS ANGELES, CA 90041-2624
Phone number: 323-254-3621