Organization
MATHARU ASSISTED LIVING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE S MATHARU MBHM (PRESIDENT / CEO)
(310) 328-8482
Entity
Organization
Contact information
Practice address
2420 W 156TH ST, GARDENA, CA 90249-4616
(310) 380-6884
(310) 320-1924
Mailing address
PO BOX 11261, TORRANCE, CA 90510-1261
(310) 328-8482
(310) 320-1924
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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