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Ebora Guest Home
Intellectual Disabilities Intermediate Care Facility in Los Angeles, California
NPI 1528276730

Ebora Guest Home is a Intellectual Disabilities Intermediate Care Facility based in Los Angeles, CA. Ebora Guest Home practices in Los Angeles, CA. The NPI Number for Ebora Guest Home is 1528276730 and holds a License No. (California).

The current practice location address for Ebora Guest Home is 355 S Kingsley Dr, Los Angeles, CA and can be reached out via phone at 213-739-0908 and via fax at 213-389-3240.

Location: 355 S Kingsley Dr, Los Angeles, CA, 90004-4303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528276730
Provider Name
Ebora Guest Home
Credential
Provider Entity Type
Organization
Address
355 S Kingsley Dr, Los Angeles, CA, 90004-4303
Phone Number
213-739-0908
Fax Number
213-389-3240
Provider Enumeration Date
05/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
355 S Kingsley Dr
City
Los Angeles
State
California
Zip
90020-3409
Phone Number
213-739-0908
Fax Number
213-389-3240
person
Provider Business Mailing Address Details
Address
355 S Kingsley Dr
City
Los Angeles
State
California
Zip
90020-3409
Phone Number
213-739-0908
Fax Number
213-389-3240
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
(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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