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Organization

SOUTH CENTRAL RESIDENTIAL CARE #2

Active
Parent organization
SOUTH CENTRAL RESIDENTIAL CARE
Other names
South Central Residential Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTH CENTRAL RESIDENTIAL CARE
Authorized official
MS. THELMA ELREAN WILLIAMS 02/10/1947 (PRES/CEO)
(323) 233-3553
Entity
Organization

Contact information

Practice address
1551 W 80TH ST, LOS ANGELES, CA 90047-2839
(323) 233-3553
(323) 231-4544
Mailing address
1551 W 80TH ST, LOS ANGELES, CA 90047-2839
(323) 233-3553
(323) 231-4544

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
198202126
CA

Other

Enumeration date
05/15/2010
Last updated
12/27/2010
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