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Lavelle Youth Homes
Public Health or Welfare Agency in Inglewood, California
NPI 1407972714

Lavelle Youth Homes is a Public Health or Welfare Agency based in Inglewood, CA. Lavelle Youth Homes practices in Inglewood, CA. The NPI Number for Lavelle Youth Homes is 1407972714 and holds a License No. (California).

The current practice location address for Lavelle Youth Homes is 652 E Manchester Blvd, Inglewood, CA and can be reached out via phone at 310-677-2569 and via fax at 310-677-9429.

Location: 652 E Manchester Blvd, Inglewood, CA, 90301-1910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407972714
Provider Name
Lavelle Youth Homes
Credential
Provider Entity Type
Organization
Address
652 E Manchester Blvd, Inglewood, CA, 90301-1910
Phone Number
310-677-2569
Fax Number
310-677-9429
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7132 01 CA MEDI-CAL PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
652 E Manchester Blvd
City
Inglewood
State
California
Zip
90301-1910
Phone Number
310-677-2569
Fax Number
310-677-9429
person
Provider Business Mailing Address Details
Address
652 E Manchester Blvd
City
Inglewood
State
California
Zip
90301-1910
Phone Number
310-677-2569
Fax Number
310-677-9429
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
()
Definition
Definition to come...
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