Pate & Ingam Home 1

NPI #1982812194 in Inglewood, California

Provider Information

NPI Number
1982812194
Entity Type
Organization
Organization Name
Pate & Ingam Home 1
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
May 19, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
9613 S 11TH AVE
ZIP Code
90305-3112
Phone
(310) 330-0097

Authorized Official

Name
WESLEY PATE
Title
LICENSEE
Phone
(310) 330-0097

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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