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Organization
LAKEWOOD RESIDENTIAL CARE, LLC
Active
Organization
LAKEWOOD RESIDENTIAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM ZENOU (MANAGER)
(310) 857-8218
Entity
Organization
Contact information
Practice address
12045 LAKEWOOD BLVD, DOWNEY, CA 90242-2635
(562) 923-4417
(562) 923-3167
Mailing address
12045 LAKEWOOD BLVD, DOWNEY, CA 90242-2635
(562) 923-4417
(562) 923-3167
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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