COMMUNITY RESIDENTIAL CARE PROGRAM

LOS ANGELES, CA
NPI1871691352
Entity TypeOrganization
Authorized ContactDENISE MARIE POLK
Registered Nurse
310-478-3711
Organization Subpart ?No
Primary Taxonomy282N00000X General Acute Care Hospital
(Licence: CA  483652)
Enumeration Date2006-09-20
Last Update Date2020-08-22
Business Address
COMMUNITY RESIDENTIAL CARE PROGRAM
1416 W 103RD ST
LOS ANGELES, CA 90047-4510
Phone number: 323-777-0269
Mailing Address
COMMUNITY RESIDENTIAL CARE PROGRAM
1416 W 103RD ST
LOS ANGELES, CA 90047-4510
Phone number: