Koles Place Inc

LBN: Koles Place Inc
Koles Place Inc is an health care organization with primary practice located at 8630 Rayford Dr , Los Angeles CA 90045-3512. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Koles Place Inc can be contacted via phone (310) 670-6965, or through Glaspie, Neekole via phone (310) 462-2730.

Contact Information

Primary practice address
8630 Rayford Dr Los Angeles CA 90045-3512
Phone: (310) 670-6965
Fax: (424) 227-6024
Website:
Map and Directions
Authorized official contact:
Name: Glaspie, Neekole
Phone: (310) 462-2730

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1063893006
LBN Legal business name Koles Place Inc
DBA Doing business as
Authorized official Glaspie, Neekole
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2015
Last updated Jun 16th, 2015 - about 10 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 1063893006 NPPES
California MEDICAID LTC 60731F

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