# INDEPENDENT LIVING CENTER OF KERN COUNTY

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

## Provider details

- **NPI number:** 1558681890
- **Authorized official:** MR. LOUIS E. LOPEZ B.A. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (661) 325-1063

## Contact information

- **Practice address:** 1631 30TH STREET, BAKERSFIELD, CA 93301-1907
- **Practice address phone:** (661) 325-1063
- **Practice address fax:** (661) 325-6702
- **Mailing address:** 1631 30TH STREET, BAKERSFIELD, CA 93301-1907
- **Mailing address phone:** (661) 325-1063
- **Mailing address fax:** (661) 325-6702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |

## Other

- **Enumeration date:** 06/09/2010
- **Last updated:** 06/09/2010
