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126th Street Homes, Inc. - Loop Home I
Intellectual Disabilities Intermediate Care Facility in Hawthorne, California
NPI 1013125228

126th Street Homes, Inc. - Loop Home I is a Intellectual Disabilities Intermediate Care Facility based in Gardena, CA. 126th Street Homes, Inc. - Loop Home I practices in Hawthorne, CA. The NPI Number for 126th Street Homes, Inc. - Loop Home I is 1013125228 and holds a License No. (California).

The current practice location address for 126th Street Homes, Inc. - Loop Home I is 4180 W 126Th St, Hawthorne, CA and can be reached out via phone at 310-676-7634 and via fax at 310-808-0883.

Location: 4180 W 126Th St, Hawthorne, CA, 90247-3908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013125228
Provider Name
126th Street Homes, Inc. - Loop Home I
Credential
Provider Entity Type
Organization
Address
4180 W 126Th St, Hawthorne, CA, 90247-3908
Phone Number
310-676-7634
Fax Number
310-808-0883
Provider Enumeration Date
05/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4180 W 126Th St
City
Hawthorne
State
California
Zip
90250-4547
Phone Number
310-676-7634
Fax Number
310-808-0883
person
Provider Business Mailing Address Details
Address
4180 W 126Th St
City
Hawthorne
State
California
Zip
90250-4547
Phone Number
310-676-7634
Fax Number
310-808-0883
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
(California)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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