Organization
INDEPENDENT LIVING CENTER OF KERN COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS E. LOPEZ B.A. (EXECUTIVE DIRECTOR)
(661) 325-1063
Entity
Organization
Contact information
Practice address
1631 30TH STREET, BAKERSFIELD, CA 93301-1907
(661) 325-1063
(661) 325-6702
Mailing address
1631 30TH STREET, BAKERSFIELD, CA 93301-1907
(661) 325-1063
(661) 325-6702
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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