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Woodlawn Park, Inc
Intellectual Disabilities Intermediate Care Facility in Lynwood, California
NPI 1457490120

Woodlawn Park, Inc is a Intellectual Disabilities Intermediate Care Facility based in Lynwood, CA. Woodlawn Park, Inc practices in Lynwood, CA. The NPI Number for Woodlawn Park, Inc is 1457490120 and holds a License No. 960001449 (California).

The current practice location address for Woodlawn Park, Inc is 3898 Woodlawn Ave, Lynwood, CA and can be reached out via phone at 310-638-6691. You can also correspond with Woodlawn Park, Inc through the mailing address at 3351 E IMPERIAL HWY, LYNWOOD, CA - 90262-3305 (mailing address contact number: 310-638-6691).

Location: 3898 Woodlawn Ave, Lynwood, CA, 90262-3305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457490120
Provider Name
Woodlawn Park, Inc
Credential
Provider Entity Type
Organization
Address
3898 Woodlawn Ave, 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
LTC61047F 05 CA
550001854 05 CA
institution
Provider Business Practice Location Address Details
Address
3898 Woodlawn Ave
City
Lynwood
State
California
Zip
90262-3729
Phone Number
310-638-6691
Fax Number
person
Provider Business Mailing Address Details
Address
3898 Woodlawn Ave
City
Lynwood
State
California
Zip
90262-3729
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.
960001449 (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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