Ettie Lee - Covina

LBN: Ettie Lee Homes, Inc
Ettie Lee - Covina is an health care organization with primary practice located at 754 E Arrow Hwy Suite F, Covina CA 91722-2107. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adolescent and Children Mental Health, which is considered as the primary health care specialty. Ettie Lee Homes, Inc can be contacted via phone (626) 967-5082, or through Varnum, Terri via phone (626) 960-4861.

Contact Information

Primary practice address
754 E Arrow Hwy Suite F Covina CA 91722-2107
Phone: (626) 967-5082
Fax: (626) 859-5002
Website:
Map and Directions
Authorized official contact:
Name: Varnum, Terri
Phone: (626) 960-4861

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 197802737 California

Profile Details

NPI number 1245458546
LBN Legal business name Ettie Lee Homes, Inc
DBA Doing business as Ettie Lee - Covina
Authorized official Varnum, Terri
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2007
Last updated Jul 29th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245458546 NPPES
California Other 7453A MENTAL HEALTH
California Other 7008 MENTAL HEALTH
California Other 7712 MENTAL HEALTH

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