Organization
C & C QUALITY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HORTENSE G. CRAWFORD RN (ADMINISTRATION)
(310) 419-0616
Entity
Organization
Contact information
Practice address
931 E LA PALMA DR, INGLEWOOD, CA 90301-3780
(310) 419-0616
(310) 673-0753
Mailing address
931 LA BREA DR E, INGLEWOOD, CA 90301
(310) 419-0616
(323) 758-3863
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
960000779
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC60504F
—
CA
Enumeration date
04/27/2007
Last updated
06/13/2024
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