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Cayla Tillman
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Los Angeles, California
NPI 1518314814

Cayla Tillman is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Los Angeles, CA. Cayla Tillman practices in Los Angeles, CA. The NPI Number for Cayla Tillman is 1518314814 and holds a License No. 198320238 (California).

The current practice location address for Cayla Tillman is 1431 W 97Th St, Los Angeles, CA and can be reached out via phone at 323-303-9808.

Location: 1431 W 97Th St, Los Angeles, CA, 90047-3934
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518314814
Provider Name
Cayla Tillman
Credential
Provider Entity Type
Individual
Gender
Female
Address
1431 W 97Th St, Los Angeles, CA, 90047-3934
Phone Number
323-303-9808
Fax Number
Provider Enumeration Date
05/17/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1431 W 97Th St
City
Los Angeles
State
California
Zip
90047-3934
Phone Number
323-303-9808
Fax Number
person
Provider Business Mailing Address Details
Address
1431 W 97Th St
City
Los Angeles
State
California
Zip
90047-3934
Phone Number
323-303-9808
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
198320238 (California)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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