Woodlawn Park

LBN: Woodlawn Park, Inc
Woodlawn Park is an health care organization with primary practice located at 3898 Woodlawn Ave , Lynwood CA 90262-3729. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Woodlawn Park, Inc can be contacted via phone (310) 638-6691, or through Lance, Katherine via phone (310) 638-6691.

Contact Information

Primary practice address
3898 Woodlawn Ave Lynwood CA 90262-3729
Phone: (310) 638-6691
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lance, Katherine
Phone: (310) 638-6691

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 960001449 California

Profile Details

NPI number 1457490120
LBN Legal business name Woodlawn Park, Inc
DBA Doing business as Woodlawn Park
Authorized official Lance, Katherine
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated May 7th, 2012 - about 12 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 1457490120 NPPES
California MEDICAID LTC61047F
California MEDICAID 550001854

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