NPI | 1093934101 |
---|---|
Doing Business As | SHUTES & LEE ADULT GROUP HOME # 1 |
Entity Type | Organization |
Authorized Contact | BELINDA LEE Administrator 323-935-2244 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: CA 960000802) |
Enumeration Date | 2007-04-25 |
Last Update Date | 2020-08-22 |