Caringresidential,inc
Point of Service in Los Angeles, CA. Organization (NPI-2).
NPI number1023237419
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1023237419
- Entity type
- Organization (NPI-2)
- Legal business name
- Caringresidential,inc
- Organization subpart
- No
- Enumeration date
- Apr 24, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305S00000X | Point of Service | 190424AN | CA | Yes |
Practice location
4309 Leimert BlvdLos Angeles, CA 90008-5201
Phone 323-293-6000
Mailing address
4309 Leimert BlvdLos Angeles, CA 90008-5201
Phone 323-293-6000
Authorized official
Russell Brian Taylor
Ceo
3107021154
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