# LAKEWOOD RESIDENTIAL CARE, LLC

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

## Provider details

- **NPI number:** 1851803431
- **Authorized official:** ADAM ZENOU (MANAGER)
- **Authorized official phone:** (310) 857-8218

## Contact information

- **Practice address:** 12045 LAKEWOOD BLVD, DOWNEY, CA 90242-2635
- **Practice address phone:** (562) 923-4417
- **Practice address fax:** (562) 923-3167
- **Mailing address:** 12045 LAKEWOOD BLVD, DOWNEY, CA 90242-2635
- **Mailing address phone:** (562) 923-4417
- **Mailing address fax:** (562) 923-3167

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | CA | Yes |

## Other

- **Enumeration date:** 11/03/2017
- **Last updated:** 11/03/2017