WOODLAWN PARK INC NPI 1457490120

NPI Information

WOODLAWN PARK, INC is an intermediate care facility mentally retarded in Lynwood, CA. The provider is (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. WOODLAWN PARK, INC NPI is 1457490120. The provider is registered as an organization entity type.
The provider Is Doing Business As Woodlawn Park.

The provider's business location address is:

3898 WOODLAWN AVE
LYNWOOD, CA
ZIP 90262-729
Phone: (310) 638-6691

The provider's authorized official is Katherine Lance .
The authorized official title is Owner and has the following contact phone number (310) 638-6691.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 5/7/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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