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Organization
CHANCES TRANSITION HOME
Active
Organization
CHANCES TRANSITION HOME
Active
Other names
Chances Transition Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERREVIA BUCK RN (CEO)
(323) 920-4856
Entity
Organization
Contact information
Practice address
1423 W 66TH ST, LOS ANGELES, CA 90047-2011
(323) 920-4856
(323) 451-8098
Mailing address
1423 W 66TH ST, LOS ANGELES, CA 90047-2011
(323) 920-4856
(323) 451-8098
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
—
NULL
163WA2000X
Administrator Registered Nurse
—
—
251B00000X
Case Management Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
261QR0800X
Recovery Care Clinic/Center
Primary
—
NULL
310400000X
Assisted Living Facility
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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