Fred Jefferson Memorial Home #1

LBN: Fred Jefferson Memorial Home For Boys
Fred Jefferson Memorial Home #1 is an health care organization with primary practice located at 1000 W 152Nd St , Compton CA 90220-2821. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, 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
1000 W 152Nd St Compton CA 90220-2821
Phone: (310) 763-1660
Fax: (310) 763-0357
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Niquelle Deondrea Master of Arts (MA)
Phone: (310) 763-1660

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1679016554
LBN Legal business name Fred Jefferson Memorial Home For Boys
DBA Doing business as Fred Jefferson Memorial Home #1
Authorized official Lewis, Niquelle Deondrea Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2016
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.

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