Organization
K'S KARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES HORICE ADMINISTRATOR (OWNER/ADMINISTRATOR)
(323) 542-9770
Entity
Organization
Contact information
Practice address
1033 W 120TH ST, LOS ANGELES, CA 90044-2915
(323) 696-9183
Mailing address
1033 W 120TH ST, LOS ANGELES, CA 90044-2915
(323) 696-9183
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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