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Organization
JASMINE CENTERS, INC. - BEACH AVENUE HOUSE
Active
Organization
JASMINE CENTERS, INC. - BEACH AVENUE HOUSE
Active
Other names
Beach Avenue House
Organization subpart
No
Provider details
NPI number
Authorized official
FAYE WILLIAMS (LICENSEE)
(310) 674-8345
Entity
Organization
Contact information
Practice address
3846 CHANSON DR, LOS ANGELES, CA 90043-1602
(310) 674-8345
(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
960000566
CA
Other
Enumeration date
05/19/2007
Last updated
06/20/2008
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