Organization
MACARTHUR ADHC INC
Active
Other names
CITY OF REFUGE ADHC
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY DELONAY (ADMINISTRATOR)
(323) 750-5009
Entity
Organization
Contact information
Practice address
8415 S HOOVER ST, LOS ANGELES, CA 90044-4911
(323) 750-5009
(323) 750-5705
Mailing address
8415 S HOOVER ST, LOS ANGELES, CA 90044-4911
(323) 750-5009
(323) 750-5705
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ADU70230F
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
10/07/2007
Last updated
10/07/2007
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