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Koles Place Inc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Los Angeles, California
NPI 1063893006

Koles Place Inc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Los Angeles, CA. Koles Place Inc practices in Los Angeles, CA. The NPI Number for Koles Place Inc is 1063893006 and holds a License No. (California).

The current practice location address for Koles Place Inc is 8630 Rayford Dr, Los Angeles, CA and can be reached out via phone at 310-670-6965 and via fax at 424-227-6024.

Location: 8630 Rayford Dr, Los Angeles, CA, 90045-3512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063893006
Provider Name
Koles Place Inc
Credential
Provider Entity Type
Organization
Address
8630 Rayford Dr, Los Angeles, CA, 90045-3512
Phone Number
310-670-6965
Fax Number
424-227-6024
Provider Enumeration Date
06/16/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC 60731F 05 CA
institution
Provider Business Practice Location Address Details
Address
8630 Rayford Dr
City
Los Angeles
State
California
Zip
90045-3512
Phone Number
310-670-6965
Fax Number
424-227-6024
person
Provider Business Mailing Address Details
Address
8630 Rayford Dr
City
Los Angeles
State
California
Zip
90045-3512
Phone Number
310-670-6965
Fax Number
424-227-6024
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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