Organization
OPICA ADULT DAY CARE CENTER, INC.
Active
Other names
OPICA Adult Day Program & Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MICHLOVICH (EXECUTIVE DIRECTOR)
(310) 478-0226
Entity
Organization
Contact information
Practice address
11759 MISSOURI AVE, LOS ANGELES, CA 90025-1865
(310) 478-0226
(310) 478-2026
Mailing address
11759 MISSOURI AVE, LOS ANGELES, CA 90025-1865
(310) 478-0226
(310) 478-2026
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
191603551
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191603551
COMMUNITY CARE LICENSING
CA
Enumeration date
08/22/2018
Last updated
08/22/2018
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