Organization · Type 2 NPI
Kingsley O. Ofoegbu Md, Facp, Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Inglewood, CA
Practice location
644 E Regent St Ste 200
Inglewood, CA 90301-1444
Mailing address
20111 Wadley Ave
Carson, CA 90746-3046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 688400 (CA) |
| Pediatric Skilled Nursing Facility | 3140N1450X | 688400 (CA) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 688400 (CA) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
2 other providers at this address
About NPI 1629465273
Kingsley O. Ofoegbu Md, Facp, Inc's National Provider Identifier is 1629465273, issued on Apr 21, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Inglewood, CA. The record was last updated on Apr 21, 2015.