NPI 1669689048

Ideal Home Care

Organisation Intellectual Disabilities Intermediate Care Facility Hawthorne, CA

Practice location

Address: 4830 W 130th St, Hawthorne, CA 90250-5010
Phone: (310) 973-8266
Fax: (310) 675-8760
Mailing address: 4000 W 139th St, Hawthorne, CA 90250-7304

Authorised official

Name: Eugene Hardin
Title: Licensee
Phone: (310) 739-3585

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in California →

Registry record

NPI: 1669689048
Entity type: Organization
NPI issued: 17 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.