Organization
K AND S GROUP HOME 11 INC
Active
Other names
LUIS CENDANA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIVINA PASAPORTE CENDANA (OWNER)
(310) 326-0374
Entity
Organization
Contact information
Practice address
22008 RASHDALL AVE, CARSON, CA 90745-2916
(310) 834-3644
(310) 834-2899
Mailing address
1503 254TH ST, HARBOR CITY, CA 90710-2716
(310) 326-0374
(310) 517-4843
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
10/09/2006
Last updated
07/02/2008
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