Organization
CARIDEAN, INC.
Active
Other names
Kole's Place
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE GRIFFIS (LICENSEE)
(323) 770-2051
Entity
Organization
Contact information
Practice address
8630 RAYFORD DR, LOS ANGELES, CA 90045-3512
(323) 779-2051
(323) 779-3615
Mailing address
1948 THOREAU ST, LOS ANGELES, CA 90047-4725
(323) 770-2051
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
960000944
CA
Other
Enumeration date
05/19/2007
Last updated
06/20/2008
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