Organization
EBORA GUEST HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EFFIE EBORA (LICENSEE)
(213) 739-0908
Entity
Organization
Contact information
Practice address
355 S KINGSLEY DR, LOS ANGELES, CA 90020-3409
(213) 739-0908
(213) 389-3240
Mailing address
245 S HARVARD BLVD, LOS ANGELES, CA 90004-4303
(213) 739-0908
(213) 389-3240
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Enumeration date
05/19/2007
Last updated
08/22/2020
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