Organization · NPI-2

Genmar Homes, INC.

Intermediate Care Facility, Intellectual Disabilities · Los Angeles, CA

NPI number1710334487
StatusActive
Last updated in NPPESMay 23, 2016

Details

NPI
1710334487
Entity type
Organization (NPI-2)
Legal business name
Genmar Homes, INC.
Organization subpart
No
Enumeration date
May 23, 2016
Last updated
May 23, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
315P00000X Intermediate Care Facility, Intellectual Disabilities00000CAYes

Other names

  • Thoreau House I (Doing Business As)

Practice location

1942 Thoreau St
Los Angeles, CA 90047-4725

Phone 323-755-7105 · Fax 323-755-7106

Mailing address

14901 Condon Ave
Lawndale, CA 90260-1216

Phone 323-755-7105 · Fax 323-755-7106

Authorized official

Eugene Hardin
President/Ceo
3107393585

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