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Organization

ITS HER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KESHA JOSSELL JOSSELL (CEO)
(312) 714-6527
Entity
Organization

Contact information

Practice address
7801 MELROSE AVE, LOS ANGELES, CA 90046-7257
(312) 714-6527
Mailing address
7801 MELROSE AVE, LOS ANGELES, CA 90046-7257
(312) 714-6527

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
177F00000X
Lodging Provider
Primary
251B00000X
Case Management Agency
251E00000X
Home Health Agency
251K00000X
Public Health or Welfare Agency
251S00000X
Community/Behavioral Health Agency
253Z00000X
In Home Supportive Care Agency
310400000X
Assisted Living Facility
311ZA0620X
Adult Care Home Facility
320800000X
Mental Illness Community Based Residential Treatment Facility
347C00000X
Private Vehicle
385HR2050X
Respite Care Camp

Other

Enumeration date
05/26/2026
Last updated
05/30/2026
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