Organization
LOOP CARE INC
Active
Other names
Bixby Knoll Place II
Organization subpart
No
Provider details
NPI number
Authorized official
SMYRNA DOJCINOVIC (LICENSEE)
(310) 808-0883
Entity
Organization
Contact information
Practice address
1135 W 161ST ST, GARDENA, CA 90247-4415
(310) 808-0883
(310) 808-0883
Mailing address
1135 W 161ST ST, GARDENA, CA 90247-4415
(310) 808-0883
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
550000558
CA
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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