Fred Jefferson Memorial Home For Boys

LBN: Fred Jefferson Memorial Home For Boys
Fred Jefferson Memorial Home For Boys is an health care organization with primary practice located at 152 W Walnut St Ste 150 , Gardena CA 90248-3146. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Fred Jefferson Memorial Home For Boys can be contacted via phone (310) 763-1660, or through Lewis, Niquelle Deondrea via phone (310) 763-1660.

Contact Information

Primary practice address
152 W Walnut St Ste 150 Gardena CA 90248-3146
Phone: (310) 763-1660
Fax: (310) 763-1660
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Niquelle Deondrea Master of Arts (MA)
Phone: (310) 763-1660

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 197804218 California

Profile Details

NPI number 1659561223
LBN Legal business name Fred Jefferson Memorial Home For Boys
DBA Doing business as
Authorized official Lewis, Niquelle Deondrea Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2007
Last updated Mar 3rd, 2020 - about 4 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.

Request for update

Popular Providers