Caridean, Inc.

NPI 1063621126 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1063621126
Enumeration Date 05/22/2007
Last Updated 06/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CARRIE CARRIE
Position LICENSEE
Phone (323) 756-5138
Fax (323) 779-3615
Practice Location
1942 THOREAU ST
LOS ANGELES CA, 90047-4725, US
Phone (323) 756-5138
Fax (323) 779-3615
Business Location
1948 THOREAU ST
LOS ANGELES CA, 90047-4725, US
Phone (323) 770-2051
Fax
Toxanomy
Taxonomy Code 315P00000X
License State California
License Number 960000880
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According to our database, Caridean, Inc. NPI is 1063621126, taxonomy code is 315P00000X and license number is 960000880, license state is located at California. Caridean, Inc. physically located at 1942 Thoreau St, Los Angeles CA, 90047-4725. NPI Number 1033115704 has the healthcare provider type.

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1063621126 NPI number is provided on an as is basis without warranty of any kind. 1063621126 is maintained by the National Plan & Provider Enumeration System. The contents of Caridean, Inc. are for informational purposes only.