Organization · NPI-2
A.F.F.R.E.E.C.A.
Voluntary or Charitable · Gardena, CA
NPI number1336780774
StatusActive
Last updated in NPPESDec 4, 2024
Details
- NPI
- 1336780774
- Entity type
- Organization (NPI-2)
- Legal business name
- A.F.F.R.E.E.C.A.
- Organization subpart
- No
- Enumeration date
- Oct 7, 2019
- Certification date
- Dec 4, 2024
- Last updated
- Dec 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251V00000X | Voluntary or Charitable | – | – | Yes |
| 251E00000X | Home Health | – | – | |
| 251K00000X | Public Health or Welfare | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QC1500X | Clinic/Center, Community Health | – | – | |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | |
| 385HR2050X | Respite Care, Respite Care Camp | – | – |
Practice location
879 W 190th St Ste 430Gardena, CA 90248-4273
Phone 310-590-8740
Mailing address
879 W 190th St Ste 430Gardena, CA 90248-4273
Phone 310-590-8740 · Fax 310-532-0763
Other practice locations
735 W 157th St
Gardena, CA 90247-4220
Gardena, CA 90247-4220
Phone 310-590-8740 · Fax 310-532-0719
Authorized official
Ivy Ngene
Lvn
3105908740
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