Organization
FT. KNOX SUPPORTIVE HOUSING FOR HOMELESS VETERANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONDA KNOX RN , ADMIN (CEO/CASE MANAGER)
(323) 386-1387
Entity
Organization
Contact information
Practice address
288 W TERRACE ST, ALTADENA, CA 91001-4706
(323) 386-1387
Mailing address
321 N PASS AVE # 105, BURBANK, CA 91505-3859
(323) 386-1387
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251J00000X
Nursing Care Agency
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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