Organization
FAMILY HANDS ADULT RESIDENTIAL CARE, LLC
Active
Other names
FAMILY HANDS ADULT CARE FACILITY, FAMILY HANDS ADULT CARE FACILITY II
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA EVETTE SCRUGGS-TATE (ADMINISTRATOR)
(323) 533-2396
Entity
Organization
Contact information
Practice address
10016 LA SALLE AVE, LOS ANGELES, CA 90047-4242
(323) 754-2151
(323) 754-2151
Mailing address
10016 LA SALLE AVE, LOS ANGELES, CA 90047-4242
(323) 533-2396
(323) 571-9769
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
198601610
CA
177F00000X
Lodging Provider
198602224
CA
251C00000X
Developmentally Disabled Services Day Training Agency
198601610
CA
251C00000X
Developmentally Disabled Services Day Training Agency
198602224
CA
251J00000X
Nursing Care Agency
198601610
CA
251J00000X
Nursing Care Agency
198602224
CA
251S00000X
Community/Behavioral Health Agency
198601610
CA
310400000X
Assisted Living Facility
198602224
CA
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
198601610
CA
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
198602224
CA
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
198601610
CA
315P00000X
Intellectual Disabilities Intermediate Care Facility
198602224
CA
Other
Enumeration date
02/23/2018
Last updated
06/16/2018
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