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Organization · Intellectual Disabilities Intermediate Care Facility · Gardena, CA

NPI
1730397944
Type
Organization (Type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility (Intermediate Care Facility, Intellectual Disabilities)
Specialty group
Nursing & Custodial Care Facilities
Taxonomy code
315P00000X
License number
960000990 (CA)
Enumerated
2007-05-19
Last updated
2025-06-28
Practice location
1309 W 159th St
Gardena, CA 90247-4323
(310) 217-0437

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