NPI 1679660898

K and S Group Home 11 INC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Carson, CA

Practice location

Address: 22008 Rashdall Ave, Carson, CA 90745-2916
Phone: (310) 834-3644
Fax: (310) 834-2899
Mailing address: 1503 254th St, Harbor City, CA 90710-2716

Authorised official

Name: Divina Pasaporte Cendana
Title: Owner
Phone: (310) 326-0374

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in California →

Registry record

NPI: 1679660898
Entity type: Organization
NPI issued: 9 Oct 2006
Record last updated: 2 Jul 2008

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.