Organization
CHANCES TRANSITION HOME
Active
Other names
Chances Transition Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERREVIA BUCK RN (CEO)
(323) 920-4856
Entity
Organization
Contact information
Practice address
1423 W 66TH ST, LOS ANGELES, CA 90047-2011
(323) 920-4856
(323) 451-8098
Mailing address
1423 W 66TH ST, LOS ANGELES, CA 90047-2011
(323) 920-4856
(323) 451-8098
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
—
—
251B00000X
Case Management Agency
—
—
251J00000X
Nursing Care Agency
—
—
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
310400000X
Assisted Living Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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