Community Residential Care Program

LBN: Community Residential Care Program
Community Residential Care Program is an health care organization with primary practice located at 1416 W 103Rd St , Los Angeles CA 90047-4510. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Community Residential Care Program can be contacted via phone (323) 777-0269, or through Polk, Denise Marie via phone (310) 478-3711.

Contact Information

Primary practice address
1416 W 103Rd St Los Angeles CA 90047-4510
Phone: (323) 777-0269
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Polk, Denise Marie
Phone: (310) 478-3711

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 483652 California

Profile Details

NPI number 1871691352
LBN Legal business name Community Residential Care Program
DBA Doing business as
Authorized official Polk, Denise Marie
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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