Croft Living Home, Inc.

NPI #1003249822 in Los Angeles, California

Provider Information

NPI Number: 1003249822
Entity Type: Organization
Organization Name: Croft Living Home, Inc.
Primary Specialty: Clinic/Center
Enumeration Date: Aug 15, 2013
Last Updated: Aug 15, 2013

Practice Location

Address: 458 N CROFT AVE
City: Los Angeles
State: California
ZIP Code: 90048-2509
Phone: (323) 655-5060

Authorized Official

Name: MRS. SHADY BORNA, P.A
Title: PRESIDENT
Phone: (323) 655-5060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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