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Organization

VETERANS AFFAIRS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FELICIA HALL CTRS (RECREATION THERAPIST)
(562) 826-8000
Entity
Organization

Contact information

Practice address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(562) 826-8000
Mailing address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(562) 826-8000

Taxonomy

Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
45351
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
45351
NATIONAL COUNCIL FOR TRS
NY
Enumeration date
08/25/2006
Last updated
08/22/2020
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