Organization · Type 2 NPI

Dalton Avenue Homes, Inc. - Loop II

Intellectual Disabilities Intermediate Care Facility · Gardena, CA

NPI number 1659589869 Active

Practice location

15918 S Dalton Ave
Gardena, CA 90247-3908

Call (310) 630-0636 Map

Fax (310) 808-0883

Mailing address

15920 S Dalton Ave
Gardena, CA 90247-3908

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1659589869

Dalton Avenue Homes, Inc. - Loop II's National Provider Identifier is 1659589869, issued on May 19, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Gardena, CA. The record was last updated on Aug 22, 2020.