Organization
LOS ANGELES WIDE COMMUNITY SUPPORT SERVICES LLC
Active
Parent organization
LOS ANGELES WIDE COMMUNITY SUPPORT SERVICES LLC
Other names
L.A. WIDE CSS
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOS ANGELES WIDE COMMUNITY SUPPORT SERVICES LLC
Authorized official
MS. LALISA RUSK (OWNER)
(310) 483-9279
Entity
Organization
Contact information
Practice address
8611 CRENSHAW BLVD STE 203, INGLEWOOD, CA 90305-2398
(310) 910-0076
Mailing address
403 E 186TH ST, CARSON, CA 90746-2119
(310) 483-9279
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/02/2025
Last updated
10/09/2025
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