Organization
MEN TAKING OVER REFORMING SOCIETY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI DENISE WELLS B.A. (EXECUTIVE DIRECTOR)
(323) 338-6633
Entity
Organization
Contact information
Practice address
7907 S MARIPOSA AVE, LOS ANGELES, CA 90044-2319
(323) 338-6633
(323) 531-4326
Mailing address
7907 S MARIPOSA AVE, LOS ANGELES, CA 90044-2319
(323) 338-6633
(323) 531-4326
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
CA
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
05/09/2018
Last updated
06/16/2018
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