NPI | 1518446624 |
---|---|
Other Name | FIVE ACRES |
Entity Type | Organization |
Authorized Contact | SHAULON SHANKLIN Director Of Claims Operations 626-993-3134 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 251300000X Local Education Agency (LEA) |
251K00000X Public Health or Welfare | |
252Y00000X Early Intervention Provider Agency | |
Enumeration Date | 2018-08-09 |
Last Update Date | 2021-08-20 |