| NPI | 1700094919 |
|---|---|
| Doing Business As | KOLE'S PLACE |
| Entity Type | Organization |
| Authorized Contact | CARRIE GRIFFIS Licensee 323-770-2051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: CA 960000944) |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2008-06-20 |