Organization
JASMINE CENTERS, INC.
Active
Other names
Berryman House
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAYE ANNETTE WILIAMS PH.D. (CEO)
(310) 674-8345
Entity
Organization
Contact information
Practice address
4915 BERRYMAN AVE, CULVER CITY, CA 90230-5111
(310) 397-7922
(310) 674-8282
Mailing address
105 S PRAIRIE AVE, INGLEWOOD, CA 90301-1969
(310) 674-8345
(310) 674-8282
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC60246F
—
CA
Enumeration date
06/11/2007
Last updated
08/22/2020
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