NPI | 1528276730 |
---|---|
Entity Type | Organization |
Authorized Contact | EFFIE EBORA Licensee 213-739-0908 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: CA 960000841) |
Enumeration Date | 2007-05-19 |
Last Update Date | 2020-08-22 |