Organization
AACRES CA, LLC
Active
Parent organization
EMBASSY MANAGEMENT, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMBASSY MANAGEMENT, LLC
Authorized official
MICHELLE WILSON (BILLING MANAGER)
(509) 209-2777
Entity
Organization
Contact information
Practice address
19300 S. HAMILTON AVE, STE 130, GARDENA, CA 90248
(310) 327-7842
(310) 327-7859
Mailing address
5709 W SUNSET HWY, STE 100, SPOKANE, WA 99224
(509) 328-2740
(509) 789-3323
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/04/2013
Last updated
02/01/2016
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