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Organization
INDEPENDENT LIVING CENTER OF KERN COUNTY
Active
Organization
INDEPENDENT LIVING CENTER OF KERN COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS E. LOPEZ B.A. (EXECUTIVE DIRECTOR)
(661) 325-1063
Entity
Organization
Contact information
Practice address
1631 30TH STREET, BAKERSFIELD, CA 93301-1907
(661) 325-1063
(661) 325-6702
Mailing address
1631 30TH STREET, BAKERSFIELD, CA 93301-1907
(661) 325-1063
(661) 325-6702
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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