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Organization

REESE'S BOARD AND CARE HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HELEN MOORE (ADMINISTRATTOR)
(323) 566-2421
Entity
Organization

Contact information

Practice address
11205 MONITOR AVE, LOS ANGELES, CA 90059-1935
(323) 566-2421
Mailing address
11205 MONITOR AVE, LOS ANGELES, CA 90059-1935

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
191801299
CA

Other

Enumeration date
09/16/2013
Last updated
09/16/2013
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