Organization
FONTHILL GARDENS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAHMAT HUSSAIN KHAN FACS (C.E.O)
(310) 873-7242
Entity
Organization
Contact information
Practice address
14103 FONTHILL AVE, HAWTHORNE, CA 90250-8013
(310) 973-7242
(310) 973-7147
Mailing address
14103 FONTHILL AVE, HAWTHORNE, CA 90250-8013
(310) 973-7242
(310) 973-7147
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
198204690
CA
323P00000X
Psychiatric Residential Treatment Facility
198204690
CA
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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