Organization · NPI-2

Above And Beyond Care Providers LLC

Assisted Living Facility, Assisted Living, Mental Illness · Los Angeles, CA

NPI number1982386173
StatusActive
Last updated in NPPESAug 30, 2023

Details

NPI
1982386173
Entity type
Organization (NPI-2)
Legal business name
Above And Beyond Care Providers LLC
Organization subpart
No
Enumeration date
Aug 7, 2023
Certification date
Aug 30, 2023
Last updated
Aug 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3104A0625X Assisted Living Facility, Assisted Living, Mental Illness––Yes

Other names

  • Anew Dawn Adult Living (Doing Business As)

Practice location

4340 Lockwood Ave
Los Angeles, CA 90029-2810

Phone 323-426-9123 · Fax 323-922-2351

Mailing address

4340 Lockwood Ave
Los Angeles, CA 90029-2810

Phone 323-426-9123 · Fax 323-922-2351

Authorized official

Patria Maravilla Dufrenne
Ceo
9092100365

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