Organization
T MICHAEL,LLC
Active
Other names
Amend
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY M COURY SR. NHA (PRESIDENT)
(323) 876-6370
Entity
Organization
Contact information
Practice address
653 N LAUREL AVE, LOS ANGELES, CA 90048-2320
(323) 876-6370
(323) 957-9792
Mailing address
7316 WOODROW WILSON DR, LOS ANGELES, CA 90046-1321
(323) 876-6370
(323) 957-9792
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
197602703
CA
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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