Organization
OUR HOUSE THEATRICAL LIVING & LEARNING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA W. SHALWAN (PRESIDENT-C.E.O.- DIRECTOR)
(310) 763-4998
Entity
Organization
Contact information
Practice address
1132 E. DOMINGUEZ ST., SUITE B & C, CARSON, CA 90746
(310) 763-4998
(310) 886-3064
Mailing address
1132 E. DOMINGUEZ ST., SUITE B & C, CARSON, CA 90746
(310) 763-4998
(310) 886-3064
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
BUS.PERMIT NO.62287A
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198600661
FACILITY #
CA
Enumeration date
12/09/2008
Last updated
12/09/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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