Organization
10120 S SPRING LA LLC
Active
Organization
10120 S SPRING LA LLC
Active
Other names
Spring St Homecare, Spring St Homecare II
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL TABELLO (MANAGING MEMBER)
(562) 858-1249
Entity
Organization
Contact information
Practice address
10120 S SPRING ST, LOS ANGELES, CA 90003-4634
(562) 858-1249
Mailing address
16330 HEATHFIELD DR, WHITTIER, CA 90603-3204
(562) 858-1249
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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