Organization
IN HONOR OF OUR PARENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA DENISE LOVE (LICENSEE/ADMINISTRATOR)
(562) 805-8799
Entity
Organization
Contact information
Practice address
1133 W 40TH PL, LOS ANGELES, CA 90037-1802
(323) 296-7816
(323) 296-7816
Mailing address
1133 W 40TH PL, LOS ANGELES, CA 90037-1802
(323) 296-7816
(323) 296-7816
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
197607238
CA
311Z00000X
Custodial Care Facility
197607238
CA
Other
Enumeration date
01/08/2010
Last updated
01/11/2010
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