Organization
SAGE HOUSE ADULT DAY CARE CENTER
Active
Parent organization
THE SALVATION ARMY
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE SALVATION ARMY
Authorized official
MR. GERALD LEWIS HARDIN BSM (EXEC. DIRECTOR)
(310) 832-6031
Entity
Organization
Contact information
Practice address
138 S BANDINI ST, SAN PEDRO, CA 90731-2321
(310) 832-6031
(310) 832-6677
Mailing address
138 S BANDINI ST, SAN PEDRO, CA 90731-2321
(310) 832-6031
(310) 832-6677
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
198600603
CA
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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