Organization
DEE'S GROUP HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELORES JOHNSON R.N. (ADMINISTRATOR)
(323) 752-1467
Entity
Organization
Contact information
Practice address
2721 W 84TH PL, INGLEWOOD, CA 90305-1807
(323) 752-1467
Mailing address
941 WEST 77TH STREET, LOS ANGELES, CA 90044
(323) 752-8358
(323) 778-8776
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
191801439
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30404453
EIN
CA
Enumeration date
07/10/2015
Last updated
07/10/2015
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