Organization
WISE & HEALTHY AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MOLLY DAVIES (PRESIDENT AND CEO)
(310) 394-9871
Entity
Organization
Contact information
Practice address
1527 4TH ST, 2ND FLOOR, SANTA MONICA, CA 90401-2358
(310) 394-9871
(310) 395-0863
Mailing address
1527 4TH ST, SANTA MONICA, CA 90401-2358
(310) 394-9871
(310) 576-2449
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
03/13/2008
Last updated
09/20/2022
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