K & S Group Home 3 Inc

NPI 1205923422 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1205923422
Enumeration Date 10/09/2006
Last Updated 07/03/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DIVINA P DIVINA
Position PRESIDENT
Phone (310) 952-0239
Fax
Practice Location
1700 E 220TH ST
CARSON CA, 90745-2516, US
Phone (310) 952-0239
Fax
Business Location
50396 HALISON STREET
TORRANCE CA, 90503, US
Phone (310) 370-2209
Fax (310) 542-4979
Toxanomy
Taxonomy Code 320600000X
License State
License Number
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According to our database, K & S Group Home 3 Inc NPI is 1205923422, taxonomy code is 320600000X K & S Group Home 3 Inc physically located at 1700 E 220th St, Carson CA, 90745-2516. NPI Number 1033115704 has the healthcare provider type.

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1205923422 NPI number is provided on an as is basis without warranty of any kind. 1205923422 is maintained by the National Plan & Provider Enumeration System. The contents of K & S Group Home 3 Inc are for informational purposes only.