NPI 1700094927

Pate & Ingam Home 2

Organisation Intellectual Disabilities Intermediate Care Facility Hawthorne, CA

Practice location

Address: 2303 W 116th St, Hawthorne, CA 90250-1970
Phone: (323) 756-9567
Fax: (323) 756-1788
Mailing address: 17433 Bauchard CT, Carson, CA 90746-1609

Authorised official

Name: Wesley Pate
Title: Licensee
Phone: (310) 330-0097

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: 1700094927
Entity type: Organization
NPI issued: 19 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.