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American Support Group
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Gardena, California
NPI 1457529760

American Support Group is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Gardena, CA. American Support Group practices in Gardena, CA. The NPI Number for American Support Group is 1457529760 and holds a License No. 190587AN (California).

The current practice location address for American Support Group is 15222 Eriel Ave, Gardena, CA and can be reached out via phone at 310-644-1288 and via fax at 310-856-4705.

Location: 15222 Eriel Ave, Gardena, CA, 90249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457529760
Provider Name
American Support Group
Credential
Provider Entity Type
Organization
Address
15222 Eriel Ave, Gardena, CA, 90249
Phone Number
310-644-1288
Fax Number
310-856-4705
Provider Enumeration Date
02/20/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
190587AN 01 CA PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
15222 Eriel Ave
City
Gardena
State
California
Zip
90249-4019
Phone Number
310-644-1288
Fax Number
310-856-4705
person
Provider Business Mailing Address Details
Address
15222 Eriel Ave
City
Gardena
State
California
Zip
90249-4019
Phone Number
310-644-1288
Fax Number
310-856-4705
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
190587AN (California)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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