Freedom Assembly

NPI 1710301767 - Assisted Living Facility - 310400000X

NPI Details
NPI 1710301767
Enumeration Date 02/11/2014
Last Updated 02/11/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JOSET JOSET
Position EXECUTIVE DIRECTOR
Phone (310) 836-2399
Fax (310) 836-2399
Practice Location
10866 WASHINGTON BLVD
757
CULVER CITY CA, 90232-3610, US
Phone (310) 836-2399
Fax (310) 836-2399
Business Location
10866 WASHINGTON BLVD
757
CULVER CITY CA, 90232-3610, US
Phone (310) 836-2399
Fax (310) 836-2399
Toxanomy
Taxonomy Code 310400000X
License State California
License Number 31040000036232
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According to our database, Freedom Assembly NPI is 1710301767, taxonomy code is 310400000X and license number is 31040000036232, license state is located at California. Freedom Assembly physically located at 10866 Washington Blvd, Culver City CA, 90232-3610. NPI Number 1033115704 has the healthcare provider type.

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1710301767 NPI number is provided on an as is basis without warranty of any kind. 1710301767 is maintained by the National Plan & Provider Enumeration System. The contents of Freedom Assembly are for informational purposes only.