Individual provider · NPI-1

Sammie Archer

Day Training/Habilitation Specialist · Torrance, CA

NPI number1083486633
StatusActive
Last updated in NPPESMay 8, 2025

Details

NPI
1083486633
Entity type
Individual (NPI-1)
Name
Sammie Archer
Sex
Male
Sole proprietor
No
Enumeration date
Oct 26, 2023
Certification date
May 8, 2025
Last updated
May 8, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialist––Yes
172V00000X Community Health Worker––

Practice location

4025 W 226th St
Torrance, CA 90505-2340

Phone 310-373-4556

Mailing address

4025 W 226th St
Torrance, CA 90505-2340

Phone 310-373-4556

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