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Normandie Place
Intellectual Disabilities Intermediate Care Facility in Gardena, California
NPI 1407063886

Normandie Place is a Intellectual Disabilities Intermediate Care Facility based in Lawndale, CA. Normandie Place practices in Gardena, CA. The NPI Number for Normandie Place is 1407063886 and holds a License No. 960000798 (California).

The current practice location address for Normandie Place is 14509 S Normandie Ave, Gardena, CA and can be reached out via phone at 310-767-1390 and via fax at 310-767-1007.

Location: 14509 S Normandie Ave, Gardena, CA, 90260-1216
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407063886
Provider Name
Normandie Place
Credential
Provider Entity Type
Organization
Address
14509 S Normandie Ave, Gardena, CA, 90260-1216
Phone Number
310-767-1390
Fax Number
310-767-1007
Provider Enumeration Date
05/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1407063886 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
14509 S Normandie Ave
City
Gardena
State
California
Zip
90247-2405
Phone Number
310-767-1390
Fax Number
310-767-1007
person
Provider Business Mailing Address Details
Address
14509 S Normandie Ave
City
Gardena
State
California
Zip
90247-2405
Phone Number
310-767-1390
Fax Number
310-767-1007
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
960000798 (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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