Organization
HEARTLAND ADULT RESIDENTIAL FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE WILLIAMS (CEO)
(323) 434-1404
Entity
Organization
Contact information
Practice address
1847 W 75TH ST, LOS ANGELES, CA 90047-2323
(323) 434-1404
Mailing address
1847 W 75TH ST, LOS ANGELES, CA 90047-2323
(323) 434-1404
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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