Fidelity Outpatient Recovery Center Inc.

NPI 1770800963 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1770800963
Enumeration Date 04/27/2010
Last Updated 04/27/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name EME CHUKU EME
Position CEO
Phone (310) 686-1794
Fax
Practice Location
718 E MANCHESTER BLVD
SUITE B
INGLEWOOD CA, 90301-1987, US
Phone (310) 686-1794
Fax
Business Location
718 E MANCHESTER BLVD
SUITE B
INGLEWOOD CA, 90301-1987, US
Phone
Fax
Toxanomy
Taxonomy Code 302R00000X
License State
License Number
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According to our database, Fidelity Outpatient Recovery Center Inc. NPI is 1770800963, taxonomy code is 302R00000X Fidelity Outpatient Recovery Center Inc. physically located at 718 E Manchester Blvd, Inglewood CA, 90301-1987. NPI Number 1033115704 has the healthcare provider type.

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1770800963 NPI number is provided on an as is basis without warranty of any kind. 1770800963 is maintained by the National Plan & Provider Enumeration System. The contents of Fidelity Outpatient Recovery Center Inc. are for informational purposes only.