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Elm Park, Inc
Intellectual Disabilities Intermediate Care Facility in Lynwood, California
NPI 1215076062

Elm Park, Inc is a Intellectual Disabilities Intermediate Care Facility based in Lynwood, CA. Elm Park, Inc practices in Lynwood, CA. The NPI Number for Elm Park, Inc is 1215076062 and holds a License No. 960001105 (California).

The current practice location address for Elm Park, Inc is 4300 Los Flores Blvd, Lynwood, CA and can be reached out via phone at 310-638-6691.

Location: 4300 Los Flores Blvd, Lynwood, CA, 90262-3305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215076062
Provider Name
Elm Park, Inc
Credential
Provider Entity Type
Organization
Address
4300 Los Flores Blvd, Lynwood, CA, 90262-3305
Phone Number
310-638-6691
Fax Number
Provider Enumeration Date
02/06/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC60909F 05 CA
institution
Provider Business Practice Location Address Details
Address
4300 Los Flores Blvd
City
Lynwood
State
California
Zip
90262-2927
Phone Number
310-638-6691
Fax Number
person
Provider Business Mailing Address Details
Address
4300 Los Flores Blvd
City
Lynwood
State
California
Zip
90262-2927
Phone Number
310-638-6691
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
960001105 (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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