Organization
JNP RESIDENTIAL
Active
Other names
Patterson Family Home, House of Legacy
Organization subpart
No
Provider details
NPI number
Authorized official
LATIESHA MARTIN (CEO)
(310) 213-1956
Entity
Organization
Contact information
Practice address
1518 S WADSWORTH AVE, COMPTON, CA 90220-3951
(310) 213-1956
Mailing address
1518 S WADSWORTH AVE, COMPTON, CA 90220-3951
(310) 213-1956
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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