Organization
GRACELIGHT COMMUNITY HEALTH
Active
Other names
Queenscare Health Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELOISA PERARD (PRESIDENT & CEO)
(323) 669-4321
Entity
Organization
Contact information
Practice address
4448 YORK BLVD, LOS ANGELES, CA 90041-3328
(323) 344-5233
(323) 344-5237
Mailing address
4816 E 3RD ST, LOS ANGELES, CA 90022-1602
(323) 780-4510
(323) 981-1662
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
960001125
CA
Other
Enumeration date
11/10/2006
Last updated
06/27/2024
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