Normandie Place

NPI 1407063886 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1407063886
Enumeration Date 05/16/2007
Last Updated 07/03/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name EUGENE EUGENE
Position LICENSEE
Phone (310) 767-1390
Fax (310) 767-1007
Practice Location
14509 S NORMANDIE AVE
GARDENA CA, 90247-2405, US
Phone (310) 767-1390
Fax (310) 767-1007
Business Location
14901 CONDON AVE
LAWNDALE CA, 90260-1216, US
Phone (310) 739-3585
Fax (310) 767-1007
Toxanomy
Taxonomy Code 315P00000X
License State California
License Number 960000798
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According to our database, Normandie Place NPI is 1407063886, taxonomy code is 315P00000X and license number is 960000798, license state is located at California. Normandie Place physically located at 14509 S Normandie Ave, Gardena CA, 90247-2405. NPI Number 1033115704 has the healthcare provider type.

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1407063886 NPI number is provided on an as is basis without warranty of any kind. 1407063886 is maintained by the National Plan & Provider Enumeration System. The contents of Normandie Place are for informational purposes only.