Organization
249G ACRES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RITA RIDDICK (CEO)
(323) 251-1794
Entity
Organization
Contact information
Practice address
9165 S NORMANDIE AVE, LOS ANGELES, CA 90044-2061
(323) 251-1794
Mailing address
9165 S NORMANDIE AVE, LOS ANGELES, CA 90044-2061
(323) 251-1794
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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