Organization
FIVE ACRES- THE BOYS' AND GIRLS' AID SOCIETY OF LOS ANGELES COUNTY
Active
Other names
Five Acres
Organization subpart
No
Provider details
NPI number
Authorized official
SHAULON SHANKLIN (DIRECTOR OF CLAIMS OPERATIONS)
(626) 798-6793
Entity
Organization
Contact information
Practice address
867 N FAIR OAKS AVE, PASADENA, CA 91103-3083
(626) 798-6793
Mailing address
760 W. MOUNTAIN VIEW STREET, ALTADENA, CA 91001-4925
(626) 798-6793
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/22/2007
Last updated
09/22/2023
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