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Model Residential Home, Inc.
Intellectual Disabilities Intermediate Care Facility in Los Angeles, California
NPI 1427322304

Model Residential Home, Inc. is a Intellectual Disabilities Intermediate Care Facility based in South Pasadena, CA. Model Residential Home, Inc. practices in Los Angeles, CA. The NPI Number for Model Residential Home, Inc. is 1427322304 and holds a License No. (California).

The current practice location address for Model Residential Home, Inc. is 1621 Linda Rosa Ave, Los Angeles, CA and can be reached out via phone at 323-254-3621 and via fax at 323-254-3655.

Location: 1621 Linda Rosa Ave, Los Angeles, CA, 91030-4226
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427322304
Provider Name
Model Residential Home, Inc.
Credential
Provider Entity Type
Organization
Address
1621 Linda Rosa Ave, Los Angeles, CA, 91030-4226
Phone Number
323-254-3621
Fax Number
323-254-3655
Provider Enumeration Date
02/24/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1621 Linda Rosa Ave
City
Los Angeles
State
California
Zip
90041-2225
Phone Number
323-254-3621
Fax Number
323-254-3655
person
Provider Business Mailing Address Details
Address
1621 Linda Rosa Ave
City
Los Angeles
State
California
Zip
90041-2225
Phone Number
323-254-3621
Fax Number
323-254-3655
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
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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