C & C Quality Care Home

NPI 1043430358 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1043430358
Enumeration Date 04/27/2007
Last Updated 06/12/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name HORTENSE G. HORTENSE
Position ADMINISTRATION
Phone (310) 419-0616
Fax (323) 758-3863
Practice Location
931 LA BREA DR
INGLEWOOD CA, 90301-3407, US
Phone (310) 419-0616
Fax (323) 758-3863
Business Location
931 LA BREA DR E
INGLEWOOD CA, 90301, US
Phone (310) 419-0616
Fax (323) 758-3863
Toxanomy
Taxonomy Code 315P00000X
License State California
License Number 960000779
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According to our database, C & C Quality Care Home NPI is 1043430358, taxonomy code is 315P00000X and license number is 960000779, license state is located at California. C & C Quality Care Home physically located at 931 La Brea Dr, Inglewood CA, 90301-3407. NPI Number 1033115704 has the healthcare provider type.

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1043430358 NPI number is provided on an as is basis without warranty of any kind. 1043430358 is maintained by the National Plan & Provider Enumeration System. The contents of C & C Quality Care Home are for informational purposes only.