# LIN ROS BES T HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417116120
- **Authorized official:** MRS. ROSENDA M CHAPMAN B.S. CHEMISTRY (QMRP/LICENSEE)
- **Authorized official phone:** (562) 867-0792

## Contact information

- **Practice address:** 254 E 228TH ST, CARSON, CA 90745-4813
- **Practice address phone:** (310) 518-5178
- **Practice address fax:** (310) 518-5005
- **Mailing address:** 6127 FAUST AVE, LAKEWOOD, CA 90713-1109
- **Mailing address phone:** (310) 518-5178
- **Mailing address fax:** (310) 518-5005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | CA | Yes |

## Other

- **Enumeration date:** 06/06/2008
- **Last updated:** 06/06/2008
