Organization · Type 2 NPI
Jasmine Centers, Inc. - Beach Avenue House
Intellectual Disabilities Intermediate Care Facility · Los Angeles, CA
NPI number
1437367653
Active
Practice location
3846 Chanson Dr
Los Angeles, CA 90043-1602
Fax (310) 674-8282
Mailing address
105 S Prairie Ave
Inglewood, CA 90301-1969
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 960000566 (CA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1437367653
Jasmine Centers, Inc. - Beach Avenue House's National Provider Identifier is 1437367653, issued on May 19, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 20, 2008.