Grand Avenue Center For Dignity
LBN: Interconnection Center Inc.
Grand Avenue Center For Dignity is an health care organization with primary practice located at 3833 S Grand Ave , Los Angeles CA 90037-1311. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty.
Interconnection Center Inc. can be contacted via phone (213) 747-4626, or through Butler, Rudy via phone (213) 747-4626.
Contact Information
Primary practice address
3833 S Grand Ave
Los Angeles CA 90037-1311
Phone: (213) 747-4626
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | 190383AN | California |
Profile Details
| NPI number | 1902024276 |
|---|---|
| LBN Legal business name | Interconnection Center Inc. |
| DBA Doing business as | Grand Avenue Center For Dignity |
| Authorized official | Butler, Rudy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Aug 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902024276 | NPPES |
| California | Other | 6893 | SUBSTANCE ABUSE REHAB |
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