Organization Name: | SECURE CARE FAMILY SERVICES, INC. |
NPI Number: | 1396098224 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYRIC ARMSTRONG (CHEIF EXECUTIVE OFFICER) |
Mailing Address: | 5632 Wenlock St Los Angeles |
State: | CA US |
Postal Code: | 900165035 |
Phone Number: | 3236387237 |
Fax Number: | |
NPI Enumeration Date: | 10/16/2012 |
NPI Last Update Date: | 10/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |