Los Angeles Wide Community Support Services LLC

NPI #1619856788 in Inglewood, California

Provider Information

NPI Number
1619856788
Entity Type
Organization
Organization Name
Los Angeles Wide Community Support Services LLC
Subpart
Yes (part of a larger organization)
Parent Organization
LOS ANGELES WIDE COMMUNITY SUPPORT SERVICES LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Sep 2, 2025
Last Updated
Oct 9, 2025

Practice Location

Address
8611 CRENSHAW BLVD STE 203
ZIP Code
90305-2398
Phone
(310) 910-0076

Authorized Official

Name
MS. LALISA RUSK
Title
OWNER
Phone
(310) 483-9279

Specialties & Taxonomy Codes

Specialty
Home Health
In Home Supportive Care
Respite Care
Day Training, Developmentally Disabled Services
Supports Brokerage
Community/Behavioral Health

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