Organization
C & C QUALITY CARE HOMES II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HORTENSE G. CRAWFORD RN (ADMINISTRATION)
(323) 758-3863
Entity
Organization
Contact information
Practice address
3425 W 82ND PL, INGLEWOOD, CA 90305-1602
(323) 758-3863
(323) 758-3863
Mailing address
3425 W 82ND PL, INGLEWOOD, CA 90305-1602
(323) 758-3863
(323) 758-3863
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
960000988
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC80180F
—
CA
Enumeration date
04/25/2007
Last updated
06/12/2008
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