Organization
KINGDOM LIVING FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EBONIE TROTTER (CEO)
(323) 602-7529
Entity
Organization
Contact information
Practice address
5940 4TH AVE, LOS ANGELES, CA 90043-3227
(323) 602-7529
Mailing address
5940 4TH AVE, LOS ANGELES, CA 90043-3227
(323) 602-7529
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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