Pate & Ingam Home 2
NPI #1700094927 in Hawthorne, California
Provider Information
- NPI Number
- 1700094927
- Entity Type
- Organization
- Organization Name
- Pate & Ingam Home 2
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- May 19, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2303 W 116TH ST
- City
- Hawthorne
- State
- California
- ZIP Code
- 90250-1970
- Phone
- (323) 756-9567
Authorized Official
- Name
- WESLEY PATE
- Title
- LICENSEE
- Phone
- (310) 330-0097
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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