Organization · Type 2 NPI

Koles Place Inc

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Los Angeles, CA

NPI number 1063893006 Active

Practice location

8630 Rayford Dr
Los Angeles, CA 90045-3512

Call (310) 670-6965 Map

Fax (424) 227-6024

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1063893006

Koles Place Inc's National Provider Identifier is 1063893006, issued on Jun 16, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 16, 2015.