Organization · NPI-2

10120 S Spring La LLC

Assisted Living Facility, Assisted Living, Behavioral Disturbances · Los Angeles, CA

NPI number1235963950
StatusActive
Last updated in NPPESAug 27, 2024

Details

NPI
1235963950
Entity type
Organization (NPI-2)
Legal business name
10120 S Spring La LLC
Organization subpart
No
Enumeration date
Aug 27, 2024
Certification date
Aug 26, 2024
Last updated
Aug 27, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances––Yes

Other names

  • Spring St Homecare II (Doing Business As)
  • Spring St Homecare (Doing Business As)

Practice location

10120 S Spring St
Los Angeles, CA 90003-4634

Phone 562-858-1249

Mailing address

16330 Heathfield Dr
Whittier, CA 90603-3204

Phone 562-858-1249

Authorized official

Daniel Tabello
Managing Member
5628581249

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