Wings Of Recovery-Susan Miller Dorsey High School

LBN: Wings Of Refuge Inc
Wings Of Recovery-Susan Miller Dorsey High School is an health care organization with primary practice located at 3537 Farmdale Ave , Los Angeles CA 90016-4707. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Wings Of Refuge Inc can be contacted via phone (323) 298-8400, or through Moncito, Renee G via phone (310) 670-6767.

Contact Information

Primary practice address
3537 Farmdale Ave Los Angeles CA 90016-4707
Phone: (323) 298-8400
Fax: (323) 298-8501
Website:
Map and Directions
Authorized official contact:
Name: Moncito, Renee G
Phone: (310) 670-6767

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X

Profile Details

NPI number 1841575099
LBN Legal business name Wings Of Refuge Inc
DBA Doing business as Wings Of Recovery-Susan Miller Dorsey High School
Authorized official Moncito, Renee G
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2011
Last updated Oct 19th, 2011 - about 13 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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