Organization
CK I, INC.
Active
Other names
CK I
Organization subpart
No
Provider details
NPI number
Authorized official
WENDELINE LAO (LICENSEE)
(661) 965-1118
Entity
Organization
Contact information
Practice address
43111 LEMONWOOD DR, LANCASTER, CA 93536-4724
(661) 965-1118
(661) 965-1118
Mailing address
43111 LEMONWOOD DR, LANCASTER, CA 93536-4724
(661) 965-1118
(661) 965-1118
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
960001457
CA
Other
Enumeration date
11/09/2007
Last updated
06/20/2008
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