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Organization
EMPOWER LIVING ADULT RESIDENTIAL FACILITY, INC
Active
Organization
EMPOWER LIVING ADULT RESIDENTIAL FACILITY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAQUITA WHITESIDE RN (DIRECTOR/ADMINISTRATOR)
(310) 892-5120
Entity
Organization
Contact information
Practice address
828 E RADBARD ST, CARSON, CA 90746-1516
(310) 707-7553
Mailing address
2516 GRAHAM AVE APT 7, REDONDO BEACH, CA 90278-2169
(310) 892-5120
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
NULL
311Z00000X
Custodial Care Facility
—
NULL
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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