LILY ADULT DAY HEALTH CARE CENTER


Address: 610 S Kingsley Dr, Los Angeles, CA 90005-2318
Phone: 5624802447

LILY ADULT DAY HEALTH CARE CENTER (NPI# 1306308499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306308499
Entity Type Organization
Organization Name LILY ADULT DAY HEALTH CARE CENTER
Practice Address 610 S Kingsley Dr
Los Angeles
CA 90005-2318
Practice Telephone 5624802447
Enumeration Date 2019-04-05
Last Update Date 2019-04-05
Authorized Official Name MR. GARY PARK (PROGRAM DIRECTOR)
Authorized Official Telephone 5624802447
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA0600X Clinic/Center
Specialization: Adult Day Care
Ambulatory Health Care Facilities

Office Location

Street Address 610 S KINGSLEY DR
City LOS ANGELES
State CA
Zip Code 90005-2318

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Taxonomy Information

Taxonomy Code 261QA0600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Day Care

Taxonomy Definition

Definition to come...

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1558921601 Crenshaw Community Center LLC Clinic/Center 1060 Crenshaw Blvd, Los Angeles, CA 90019-1900 2019-06-19
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Competitor

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City LOS ANGELES
Zip Code 90005

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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