Organization · Type 2 NPI

K and S Group Home 11 Inc

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

NPI number 1679660898 Active

Practice location

22008 Rashdall Ave
Carson, CA 90745-2916

Call (310) 834-3644 Map

Fax (310) 834-2899

Mailing address

1503 254th St
Harbor City, CA 90710-2716

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary	320600000X	None 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 1679660898

K and S Group Home 11 Inc's National Provider Identifier is 1679660898, issued on Oct 9, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Carson, CA. The record was last updated on Jul 2, 2008.