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Lasunea Johnson
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Los Angeles, California
NPI 1821861147

Lasunea Johnson is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Los Angeles, CA. Lasunea Johnson practices in Los Angeles, CA. The NPI Number for Lasunea Johnson is 1821861147 and holds a License No. 198320207 (California).

The current practice location address for Lasunea Johnson is 202 E 108Th St, Los Angeles, CA and can be reached out via phone at 310-988-6423.

Location: 202 E 108Th St, Los Angeles, CA, 90061-2504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821861147
Provider Name
Lasunea Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
202 E 108Th St, Los Angeles, CA, 90061-2504
Phone Number
310-988-6423
Fax Number
Provider Enumeration Date
10/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
202 E 108Th St
City
Los Angeles
State
California
Zip
90061-2504
Phone Number
310-988-6423
Fax Number
person
Provider Business Mailing Address Details
Address
202 E 108Th St
City
Los Angeles
State
California
Zip
90061-2504
Phone Number
310-988-6423
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.
198320207 (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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