Organization
PROMISE ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZULFICAR GREGORY RESTUM (CEO)
(310) 205-2591
Entity
Organization
Contact information
Practice address
1231 S ALVARADO ST, LOS ANGELES, CA 90006-4119
(310) 205-2591
(310) 205-2596
Mailing address
1231 S ALVARADO ST, LOS ANGELES, CA 90006-4119
(310) 205-2591
(310) 205-2596
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
197608604
CA
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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