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Bloomfield West Inc
Intellectual Disabilities Intermediate Care Facility in Lynwood, California
NPI 1487740452

Bloomfield West Inc is a Intellectual Disabilities Intermediate Care Facility based in Lynwood, CA. Bloomfield West Inc practices in Lynwood, CA. The NPI Number for Bloomfield West Inc is 1487740452 and holds a License No. 960000541 (California).

The current practice location address for Bloomfield West Inc is 3333 E Imperial Hwy, Lynwood, CA and can be reached out via phone at 310-638-6691.

Location: 3333 E Imperial Hwy, Lynwood, CA, 90262-3305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487740452
Provider Name
Bloomfield West Inc
Credential
Provider Entity Type
Organization
Address
3333 E Imperial Hwy, Lynwood, CA, 90262-3305
Phone Number
310-638-6691
Fax Number
Provider Enumeration Date
10/05/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
550001863 05 CA
LTC90066F 05 CA
institution
Provider Business Practice Location Address Details
Address
3333 E Imperial Hwy
City
Lynwood
State
California
Zip
90262-3305
Phone Number
310-638-6691
Fax Number
person
Provider Business Mailing Address Details
Address
3333 E Imperial Hwy
City
Lynwood
State
California
Zip
90262-3305
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.
960000541 (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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