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Organization

JASMINE CENTERS, INC. - BEACH AVENUE HOUSE

Active
Other names
Beach Avenue House
Organization subpart
No

Provider details

NPI number
Authorized official
FAYE WILLIAMS (LICENSEE)
(310) 674-8345
Entity
Organization

Contact information

Practice address
3846 CHANSON DR, LOS ANGELES, CA 90043-1602
(310) 674-8345
(310) 674-8282
Mailing address
105 S PRAIRIE AVE, INGLEWOOD, CA 90301-1969
(310) 674-8345
(310) 674-8282

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
960000566
CA

Other

Enumeration date
05/19/2007
Last updated
06/20/2008
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