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Organization
JASMINE CENTERS, INC.
Active
Organization
JASMINE CENTERS, INC.
Active
Other names
Berryman House
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAYE ANNETTE WILIAMS PH.D. (CEO)
(310) 674-8345
Entity
Organization
Contact information
Practice address
4915 BERRYMAN AVE, CULVER CITY, CA 90230-5111
(310) 397-7922
(310) 674-8282
Mailing address
105 S PRAIRIE AVE, INGLEWOOD, CA 90301-1969
(310) 674-8345
(310) 674-8282
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC60246F
—
CA
Enumeration date
06/11/2007
Last updated
08/22/2020
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