Caridean, INC.
Intermediate Care Facility, Intellectual Disabilities in Los Angeles, CA. Organization (NPI-2).
NPI number1700094919
StatusActive
Last updated in NPPESJun 20, 2008
Details
- NPI
- 1700094919
- Entity type
- Organization (NPI-2)
- Legal business name
- Caridean, INC.
- Organization subpart
- No
- Enumeration date
- May 19, 2007
- Last updated
- Jun 20, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | 960000944 | CA | Yes |
Other names
- Kole'S Place (Doing Business As)
Practice location
8630 Rayford DrLos Angeles, CA 90045-3512
Phone 323-779-2051 · Fax 323-779-3615
Mailing address
1948 Thoreau StLos Angeles, CA 90047-4725
Phone 323-770-2051
Authorized official
Carrie Griffis
Licensee
3237702051
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