NORMANDIE PLACE NPI 1407063886

NPI Information

NORMANDIE PLACE is an intermediate care facility mentally retarded in Gardena, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. NORMANDIE PLACE NPI is 1407063886. The provider is registered as an organization entity type.

The provider's business location address is:

14509 S NORMANDIE AVE
GARDENA, CA
ZIP 90247-405
Phone: (310) 767-1390
Fax: (310) 767-1007

The provider's authorized official is Eugene Hardin .
The authorized official title is Licensee and has the following contact phone number (310) 739-3585.

The CLIA number assigned to this NPI record is 05D1016892 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 7/3/2008.

Taxonomy Codes

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Other Identifiers

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