Organization
EVELYN'S MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLON HALLMAN (ADMINISTRATOR)
(310) 739-9303
Entity
Organization
Contact information
Practice address
1126 E 82ND ST, LOS ANGELES, CA 90001-3310
(323) 484-0039
Mailing address
1126 E 82ND ST, LOS ANGELES, CA 90001-3310
(323) 484-0039
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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