# FT. KNOX SUPPORTIVE HOUSING FOR HOMELESS VETERANS

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

## Provider details

- **NPI number:** 1780204537
- **Authorized official:** LATONDA KNOX RN , ADMIN (CEO/CASE MANAGER)
- **Authorized official phone:** (323) 386-1387

## Contact information

- **Practice address:** 288 W TERRACE ST, ALTADENA, CA 91001-4706
- **Practice address phone:** (323) 386-1387
- **Mailing address:** 321 N PASS AVE \# 105, BURBANK, CA 91505-3859
- **Mailing address phone:** (323) 386-1387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 177F00000X | Lodging Provider | — | NULL | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 04/22/2020
- **Last updated:** 04/22/2020