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Kingsley O. Ofoegbu Md, Facp, Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Inglewood, California
NPI 1629465273

Kingsley O. Ofoegbu Md, Facp, Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Carson, CA. Kingsley O. Ofoegbu Md, Facp, Inc practices in Inglewood, CA. The NPI Number for Kingsley O. Ofoegbu Md, Facp, Inc is 1629465273 and holds a License No. 688400 (California).

The current practice location address for Kingsley O. Ofoegbu Md, Facp, Inc is 644 E Regent St Ste 200, Inglewood, CA and can be reached out via phone at 310-982-3141.

Location: 644 E Regent St Ste 200, Inglewood, CA, 90746-3046
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629465273
Provider Name
Kingsley O. Ofoegbu Md, Facp, Inc
Credential
Provider Entity Type
Organization
Address
644 E Regent St Ste 200, Inglewood, CA, 90746-3046
Phone Number
310-982-3141
Fax Number
Provider Enumeration Date
04/21/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
644 E Regent St Ste 200
City
Inglewood
State
California
Zip
90301-1444
Phone Number
310-982-3141
Fax Number
person
Provider Business Mailing Address Details
Address
644 E Regent St Ste 200
City
Inglewood
State
California
Zip
90301-1444
Phone Number
310-982-3141
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
261QA0600X
License No.
688400 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
Nursing Care, Pediatric
Taxonomy
3140N1450X
License No.
688400 (California)
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
688400 (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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