Organization
PROJECT SIX
Active
Other names
Lomita Home
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARBARA FIRESTONE (CEO - PRESIDENT)
(818) 781-0360
Entity
Organization
Contact information
Practice address
13130 BURBANK BLVD, SHERMAN OAKS, CA 91401-6037
(818) 781-0360
(818) 779-5293
Mailing address
13130 BURBANK BLVD, SHERMAN OAKS, CA 91401-6037
(818) 781-3060
(818) 779-5293
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
96000775
CA
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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