126TH STREET HOMES, INC. - LOOP HOME I is an intermediate care facility mentally retarded in Hawthorne, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. 126TH STREET HOMES, INC. - LOOP HOME I NPI is 1013125228. The provider is registered as an organization entity type.
The provider's business location address is:
4180 W 126TH ST
HAWTHORNE, CA
ZIP 90250-547
Phone: (310) 676-7634
Fax: (310) 808-0883
The provider's authorized official is Tony Dojcinovic .
The authorized official title is Licensee and has the following contact phone number (310) 808-0883.
The enumeration date for this NPI number is 5/19/2007 and was last updated on 8/22/2020.